Examining Effective Practices and Policies for Facilitating After-Hours Care

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One of the hallmarks of the patient-centered medical home is access to primary care after regular office hours-on evenings, weekends, and holidays. Having this enhanced access has been shown to reduce unnecessary emergency department use, which in turn leads to lower health care costs. In the United States, however, only 29 percent of primary care physicians report that their practice makes arrangements to see patients after hours. This project will study primary care sites in this country and possibly abroad that either directly provide effective, efficient after-hours care primary care or coordinate such care with a patient's usual primary care provider. Through case studies and interviews, project staff will identify the factors associated with successfully providing such care, particularly focusing on policies and practice characteristics that could facilitate replication of effective models.

Grant Details

Grantee Organization:
Center for Studying Health System Change
Principal Investigator:
Ann S. O'Malley, M.D., M.P.H.
Award Amount:
$163,970.00
Approval Date:
April 13, 2010

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