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Two-year outcomes following the HIDOC program: expanding outpatient care delivery to meet the needs of medically complex, high-utilizing patients with a broader interprofessional care team.

Publication ,  Journal Article
Seidenfeld, J; Driscoll, C; Germino, L; Nickolopoulos, E; Keck, V; Dillard, J; Brown, G; Bowlby, L; Cho, A
Published in: J Interprof Care
2023

This article describes the Highly Individualized Dedicated Onsite Care (HIDOC) intensive primary care program implemented at a university clinic, comprising (a) care by an interprofessional team, (b) new logistical capacity, and (c) clinician skills training. Measured outcomes include Emergency Department (ED) visits and hospitalizations at a university and a community hospital over 2 years, using a within-subjects design. We demonstrate decreased hospitalizations at the University Hospital, and a decrease in ED visits at both sites. Team-based strategies to provide intensive primary care can decrease utilization, allowing for greater continuity of care.

Duke Scholars

Published In

J Interprof Care

DOI

EISSN

1469-9567

Publication Date

2023

Volume

37

Issue

1

Start / End Page

160 / 163

Location

England

Related Subject Headings

  • Patient Care Team
  • Nursing
  • Interprofessional Relations
  • Humans
  • Hospitalization
  • Emergency Service, Hospital
  • Delivery of Health Care
  • Ambulatory Care
  • 4206 Public health
  • 4203 Health services and systems
 

Citation

APA
Chicago
ICMJE
MLA
NLM
Seidenfeld, J., Driscoll, C., Germino, L., Nickolopoulos, E., Keck, V., Dillard, J., … Cho, A. (2023). Two-year outcomes following the HIDOC program: expanding outpatient care delivery to meet the needs of medically complex, high-utilizing patients with a broader interprofessional care team. J Interprof Care, 37(1), 160–163. https://doi.org/10.1080/13561820.2022.2038550
Seidenfeld, Justine, Caitlin Driscoll, Laura Germino, Elissa Nickolopoulos, Valerie Keck, Jan Dillard, Gregory Brown, Lynn Bowlby, and Alex Cho. “Two-year outcomes following the HIDOC program: expanding outpatient care delivery to meet the needs of medically complex, high-utilizing patients with a broader interprofessional care team.J Interprof Care 37, no. 1 (2023): 160–63. https://doi.org/10.1080/13561820.2022.2038550.
Seidenfeld, Justine, et al. “Two-year outcomes following the HIDOC program: expanding outpatient care delivery to meet the needs of medically complex, high-utilizing patients with a broader interprofessional care team.J Interprof Care, vol. 37, no. 1, 2023, pp. 160–63. Pubmed, doi:10.1080/13561820.2022.2038550.
Seidenfeld J, Driscoll C, Germino L, Nickolopoulos E, Keck V, Dillard J, Brown G, Bowlby L, Cho A. Two-year outcomes following the HIDOC program: expanding outpatient care delivery to meet the needs of medically complex, high-utilizing patients with a broader interprofessional care team. J Interprof Care. 2023;37(1):160–163.

Published In

J Interprof Care

DOI

EISSN

1469-9567

Publication Date

2023

Volume

37

Issue

1

Start / End Page

160 / 163

Location

England

Related Subject Headings

  • Patient Care Team
  • Nursing
  • Interprofessional Relations
  • Humans
  • Hospitalization
  • Emergency Service, Hospital
  • Delivery of Health Care
  • Ambulatory Care
  • 4206 Public health
  • 4203 Health services and systems