The effect of coordinated, multidisciplinary ambulatory care on service use, charges, quality of care and patient satisfaction in the elderly

Laura Mae Baldwin, Thomas Inui, Sally Stenkamp

Research output: Contribution to journalArticle

12 Citations (Scopus)

Abstract

This study evaluated a multidisciplinary care center, the Pike Market Clinic (PMC), whose physicians provide and coordinate inpatient and outpatient care for downtown low-income elderly in Seattle. We interviewed users of PMC and their near-neighbors with a 206 item questionnaire to compare their medical and social service use, quality of care, and satisfaction. We then estimated mean annual charges/person for inpatient, outpatient and emergency room services in the two groups. Demographic and health status characteristics were similar in the two groups. PMC patients made significantly more annual visits than neighbors to their primary physicians. Visits to non-primary physicians occurred at the same rate in both groups, but PMC patients were referred more often by their primary physicians. Both emergency room and inpatient use were higher in the neighbor group. Social services were used at the same rate by PMC patients and neighbors. Various indices suggested that quality of care and satisfaction were comparable or superior among PMC patients. Using utilization data, we estimated that neighbors generated charges over $1000/person/year greater than PMC patients. Coordination by PMC providers rather than the availability of multidisciplinary services may be largely responsible for utilization differences between PMC patients and their neighbors.

Original languageEnglish (US)
Pages (from-to)95-108
Number of pages14
JournalJournal of Community Health
Volume18
Issue number2
DOIs
StatePublished - Apr 1993
Externally publishedYes

Fingerprint

Esocidae
Quality of Health Care
Ambulatory Care
Patient Satisfaction
market
physician
Physicians
Inpatients
Social Work
mobile social services
Hospital Emergency Service
Group
utilization
outpatient care
human being
city center
Health Status
health status
Outpatients
low income

ASJC Scopus subject areas

  • Health Professions(all)
  • Health(social science)
  • Public Health, Environmental and Occupational Health

Cite this

The effect of coordinated, multidisciplinary ambulatory care on service use, charges, quality of care and patient satisfaction in the elderly. / Baldwin, Laura Mae; Inui, Thomas; Stenkamp, Sally.

In: Journal of Community Health, Vol. 18, No. 2, 04.1993, p. 95-108.

Research output: Contribution to journalArticle

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