TY - JOUR
T1 - Patients' perspectives on a new delivery model in primary care
T2 - A propensity score matched analysis of patient-reported outcomes in a Dutch cohort study
AU - van den Bogaart, Esther H. A.
AU - Spreeuwenberg, Marieke D.
AU - Kroese, Marielle E. A. L.
AU - van Hoof, Sofie J. M.
AU - Hameleers, Niels
AU - Ruwaard, Dirk
PY - 2021/4
Y1 - 2021/4
N2 - Rationale, aims and objective Primary Care Plus (PC+) focuses on the substitution of hospital-based medical care to the primary care setting without moving hospital facilities. The aim of this study was to examine whether population health and experience of care in PC+ could be maintained. Therefore, health-related quality of life (HRQoL) and experienced quality of care from a patient perspective were compared between patients referred to PC+ and to hospital-based outpatient care (HBOC). Methods This cohort study included patients from a Dutch region, visiting PC+ or HBOC between December 2014 and April 2018. With patient questionnaires (T0, T1 and T2), the HRQoL and experience of care were measured. One-to-two nearest neighbour calliper propensity score matching (PSM) was used to control for potential selection bias. Outcomes were compared using marginal linear models and Pearson chi-square tests. Results One thousand one hundred thirteen PC+ patients were matched to 606 HBOC patients with well-balanced baseline characteristics (SMDs .05), indicating no difference in HRQoL development between the groups over time. Regarding experienced quality of care, no differences were found between PC+ and HBOC patients. Only travel time was significantly shorter in the HBOC group (P
AB - Rationale, aims and objective Primary Care Plus (PC+) focuses on the substitution of hospital-based medical care to the primary care setting without moving hospital facilities. The aim of this study was to examine whether population health and experience of care in PC+ could be maintained. Therefore, health-related quality of life (HRQoL) and experienced quality of care from a patient perspective were compared between patients referred to PC+ and to hospital-based outpatient care (HBOC). Methods This cohort study included patients from a Dutch region, visiting PC+ or HBOC between December 2014 and April 2018. With patient questionnaires (T0, T1 and T2), the HRQoL and experience of care were measured. One-to-two nearest neighbour calliper propensity score matching (PSM) was used to control for potential selection bias. Outcomes were compared using marginal linear models and Pearson chi-square tests. Results One thousand one hundred thirteen PC+ patients were matched to 606 HBOC patients with well-balanced baseline characteristics (SMDs .05), indicating no difference in HRQoL development between the groups over time. Regarding experienced quality of care, no differences were found between PC+ and HBOC patients. Only travel time was significantly shorter in the HBOC group (P
KW - health policy
KW - health services research
KW - patient-centered care
KW - public health
KW - TRIPLE AIM
KW - HEALTH
KW - SPECIALIST
KW - CLINICS
KW - DESIGN
U2 - 10.1111/jep.13426
DO - 10.1111/jep.13426
M3 - Article
C2 - 32701197
SN - 1356-1294
VL - 27
SP - 344
EP - 355
JO - Journal of Evaluation in Clinical Practice
JF - Journal of Evaluation in Clinical Practice
IS - 2
ER -