Managed Care and People With Disabilities Research Inventory. Managed Care and People With Disabilities Research Inventory : Table 45


: Table 45

ORGANIZATION:   Center for Health Studies Group Health Cooperative at Puget Sound
TELEPHONE:   (206) 287-2872
NAME OF STUDY:   A New Primary Care Model for Chronic Illness Care
PROJECT DIRECTOR/PI:   Edward Wagner, M.D., M.P.H.
FUNDING SOURCE:   RWJ Chronic Care Initiatives in HMOs.
PROJECT DATES:   September 1994 - August 31, 1997
RESEARCH QUESTIONS/GOALS:   To develop a chronic care model for diabetes and multi-problem geriatric patients and test its feasibility and acceptability to patients and providers in Group Health primary care practices. To assess whether the intervention provides increased adherence to self-management behaviors, improvements in clinical data with respect to quality of life, lowered hospital and ER use and health care costs, and improvements in patient and primary care provider satisfaction.
BRIEF DESCRIPTION OF METHODS AND DATA:   Randomized clinical trial with about 70 central region primary care practices as the unit of randomization, and about 1200 patients. 3 levels of intervention: Training and population-based care (i.e. specific to certain conditions or populations) with registries of diabetes and frail elderly Same as above, but supplemented with training in how to deliver patient education Training and population-based care, registries, and chronic care clinics.
AVAILABILITY OF RESULTS:   In June 1996 there should be preliminary data available for presentation. They will get baseline survey data (satisfaction survey) with 6-month follow-up for 2 years. Utilization and cost data will be pulled from their automated system.