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Patient-centered medical homes and oral anticoagulation therapy initiation.

Publication ,  Journal Article
Beadles, CA; Hassmiller Lich, K; Viera, AJ; Greene, SB; Brookhart, MA; Weinberger, M
Published in: Med Care Res Rev
April 2014

Despite evidence-based guidelines, oral anticoagulation therapy (OAT) initiation is low among incident atrial fibrillation (AF) patients. Patient-centered medical homes (PCMHs) may increase access, quality, and value through coordinating care. As such, PCMHs hold potential for improving OAT initiation among AF patients. We estimated the effect of receiving care in accredited PCMHs on OAT initiation for incident AF patients compared with those not receiving care in accredited PCMHs. Our study, a retrospective cohort new user design, included privately insured patients in North Carolina during years 2006 to 2010. We developed propensity scores for PCMH exposure, performed inverse probability of treatment weighting, and estimated effects with generalized estimating equations. We found a positive association between PCMH exposure and OAT initiation in unadjusted (6.78%; p < .001) and adjusted (6.25%; p < .001) models. Greater implementation and optimization of PCMH model principles may enhance this association, reducing AF-related stroke morbidity and mortality.

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Published In

Med Care Res Rev

DOI

EISSN

1552-6801

Publication Date

April 2014

Volume

71

Issue

2

Start / End Page

174 / 191

Location

United States

Related Subject Headings

  • Young Adult
  • Retrospective Studies
  • Patient-Centered Care
  • North Carolina
  • Middle Aged
  • Humans
  • Health Policy & Services
  • Atrial Fibrillation
  • Anticoagulants
  • Aged
 

Citation

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Beadles, C. A., Hassmiller Lich, K., Viera, A. J., Greene, S. B., Brookhart, M. A., & Weinberger, M. (2014). Patient-centered medical homes and oral anticoagulation therapy initiation. Med Care Res Rev, 71(2), 174–191. https://doi.org/10.1177/1077558713510563
Beadles, Christopher A., Kristen Hassmiller Lich, Anthony J. Viera, Sandra B. Greene, M Alan Brookhart, and Morris Weinberger. “Patient-centered medical homes and oral anticoagulation therapy initiation.Med Care Res Rev 71, no. 2 (April 2014): 174–91. https://doi.org/10.1177/1077558713510563.
Beadles CA, Hassmiller Lich K, Viera AJ, Greene SB, Brookhart MA, Weinberger M. Patient-centered medical homes and oral anticoagulation therapy initiation. Med Care Res Rev. 2014 Apr;71(2):174–91.
Beadles, Christopher A., et al. “Patient-centered medical homes and oral anticoagulation therapy initiation.Med Care Res Rev, vol. 71, no. 2, Apr. 2014, pp. 174–91. Pubmed, doi:10.1177/1077558713510563.
Beadles CA, Hassmiller Lich K, Viera AJ, Greene SB, Brookhart MA, Weinberger M. Patient-centered medical homes and oral anticoagulation therapy initiation. Med Care Res Rev. 2014 Apr;71(2):174–191.
Journal cover image

Published In

Med Care Res Rev

DOI

EISSN

1552-6801

Publication Date

April 2014

Volume

71

Issue

2

Start / End Page

174 / 191

Location

United States

Related Subject Headings

  • Young Adult
  • Retrospective Studies
  • Patient-Centered Care
  • North Carolina
  • Middle Aged
  • Humans
  • Health Policy & Services
  • Atrial Fibrillation
  • Anticoagulants
  • Aged