Study: Potential Problems With Role of Physicians and Specialists in Medical Home Model

A study on the primary care medical home model found the nation may not have enough primary care physicians to handle chronic disease care workloads, complicating the role of specialist physicians in the model, according to a University of Michigan news release.

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The study, led by University of Michigan Health System, researched the implications of redistributing chronic disease care workloads between specialists and primary care physicians in the PCMH model.

They found specialists spend significant time — more than 650,000 work weeks collectively — on routine follow-up care for patients with common chronic conditions, including asthma, diabetes and lower back pain.

The study proposes it may be more cost-effective if this care was delegated to primary care physicians, but that would require either thousands of them or an extra three weeks per year from those currently in the workforce.

PCMH is a team-based model of coordinated care that either provides for all of patients’ healthcare needs or arranges to do so by collaborating with other healthcare professionals. The model offers other potential benefits including less fragmentation of care, minimization of redundant tests and services and performance-based payment.

Read the UM release on the study on the primary care home model.

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