Abstract
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
Original language | English |
---|---|
Pages (from-to) | 344-355 |
Number of pages | 12 |
Journal | Journal of Evaluation in Clinical Practice |
Volume | 27 |
Issue number | 2 |
Early online date | 17 Jun 2020 |
DOIs | |
Publication status | Published - Apr 2021 |
Keywords
- health policy
- health services research
- patient-centered care
- public health
- TRIPLE AIM
- HEALTH
- SPECIALIST
- CLINICS
- DESIGN