Carlo Favaretti

Sfatato il luogo comune che una buona assistenza primaria non costi!

Running a better patient-centered medical home (PCMH) may have higher operating costs, according to a study in the Journal of the American Medical Association. Researchers from the University of Chicago found that having an overall score that was 10 points higher than the average performance score was associated with a $2.26 higher operating cost per patient per month, which translates to an annual cost of $508,207.

PCMHs scoring 10 points above the mean for patient tracking and for quality improvement both were associated with higher operating cost per physician full-time equivalent (FTE) and per patient per month.

However, better access/communication was associated with a lower operating cost per physician FTE. For instance, the cost of providing telephone-based clinical advice could be offset if it replaces a more costly in-person visit, the researchers wrote.

Researchers said the larger price-tag…

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