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The Relationship Between the Use of a Worksite Medical Home and ED Visits or Hospitalizations

Publication ,  Journal Article
Stroo, M; Conover, C; Adcock, G; Myneni, R; Olaleye, D; Østbye, T
Published in: Inquiry (United States)
January 1, 2015

Worksite medical homes may be a good model for improving employee health. The aim of this study was to compare the likelihood of being seen in the emergency department (ED) or being hospitalized by level of use (no use, occasional use, or primary care) of a worksite medical home, overall and by type of user (employee, adult dependent, or pediatric dependent). This was a retrospective analysis of claims data, using covariate-adjusted logistic regression models for ED visits and inpatient hospitalizations. Secondary data for the years 2006 to 2008 from a company that offers an on-site health care center (HCC) were used. Analyses were based on a data set that combines health plan claims and human resources demographic data. Overall, people who did not use the HCC were more likely to be seen in the ED (adjusted odds ratio [OR] = 1.20, 95% confidence interval or CI [1.06, 1.37], P =.005) or to be hospitalized (adjusted OR = 1.58; 95% CI [1.34, 1.86]; P <.0001) compared with those who used the HCC for primary care. Both ED visits and hospitalizations for employees and dependents in this study were lower among those who used the worksite medical home for primary care. Worksite medical homes can improve chronic disease management and thus reduce ED visits and hospitalizations. These findings contribute to growing evidence that worksite medical homes are potentially cost-effective.

Duke Scholars

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Published In

Inquiry (United States)

DOI

EISSN

1945-7243

ISSN

0046-9580

Publication Date

January 1, 2015

Volume

52

Related Subject Headings

  • Health Policy & Services
  • 4206 Public health
  • 4203 Health services and systems
  • 1117 Public Health and Health Services
 

Citation

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Stroo, M., Conover, C., Adcock, G., Myneni, R., Olaleye, D., & Østbye, T. (2015). The Relationship Between the Use of a Worksite Medical Home and ED Visits or Hospitalizations. Inquiry (United States), 52. https://doi.org/10.1177/0046958015609608
Stroo, M., C. Conover, G. Adcock, R. Myneni, D. Olaleye, and T. Østbye. “The Relationship Between the Use of a Worksite Medical Home and ED Visits or Hospitalizations.” Inquiry (United States) 52 (January 1, 2015). https://doi.org/10.1177/0046958015609608.
Stroo M, Conover C, Adcock G, Myneni R, Olaleye D, Østbye T. The Relationship Between the Use of a Worksite Medical Home and ED Visits or Hospitalizations. Inquiry (United States). 2015 Jan 1;52.
Stroo, M., et al. “The Relationship Between the Use of a Worksite Medical Home and ED Visits or Hospitalizations.” Inquiry (United States), vol. 52, Jan. 2015. Scopus, doi:10.1177/0046958015609608.
Stroo M, Conover C, Adcock G, Myneni R, Olaleye D, Østbye T. The Relationship Between the Use of a Worksite Medical Home and ED Visits or Hospitalizations. Inquiry (United States). 2015 Jan 1;52.

Published In

Inquiry (United States)

DOI

EISSN

1945-7243

ISSN

0046-9580

Publication Date

January 1, 2015

Volume

52

Related Subject Headings

  • Health Policy & Services
  • 4206 Public health
  • 4203 Health services and systems
  • 1117 Public Health and Health Services