Dr. Haichang Xin, research associate in the department of health care organization and policy at the University of Alabama at Birmingham — in collaboration with department colleagues Dr. Meredith L. Kilgore, professor and chair; and Dr. Bisakha Sen, professor — recently conducted a retrospective study to ascertain whether a link exists between the availability of patient-centered medical home (PCMH) practices and the reduction in emergency department (ED) visits, especially among uninsured individuals.
[Photo: Dr. Haichang Xin]
Analyzing data from the Medical Expenditure Panel Survey (which is “a set of large-scale surveys of families and individuals, their medical providers, and employers across the United States”) regarding 1,287 adults who had made ED visits in 2011, the researchers found a reduction in nonurgent visits between the PCMH practices among uninsured groups. Dr. Xin observed that “reductions in odds of nonurgent ED use between the full PCMH group and the ‘no regular provider’ group was significantly larger for the uninsured group than publicly and privately insured groups. Similar results were found between the partial PCMH group and the ‘no regular provider’ group for the uninsured group compared to the public group. PCMH models demonstrate higher odds of reduced nonurgent ED use among uninsured individuals compared to public and private enrollees nationwide.”
“Is Access to and Use of Patient Perceived Patient-Centered Medical Homes Associated With Reduced Nonurgent Emergency Department Use?” was published online in April in the American Journal of Medical Quality.