Evidence map›Paper›PMID 38034198›Full record

ArticleCureus2023

Using Chronic Care Management Visits to Reduce the Number of Frequent Emergency Department Visits: A Pilot Study.

Rock P Vomer, Emma York, Julian Greer, Michael S Layne, John Whitenton, Jennifer Ware, Justin F Tondt, Margaret Murray

Open access · diamondAbstract read
In one paragraph

Article in Cureus, 2023. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 1 paper.

0numbers the graph read from it
0cells of the map it votes in
1citing papers in PubMed
0.3field-weighted citation impact, top 36% of its field
1 · What the graph read from it

What it found

Each row is one number read from the abstract, on the scale the paper reported it, with its interval. Left of the dashed line favours the treatment, right favours the comparator. Under each row is the sentence it came from. New to these charts? A ten-minute tutorial.

The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.

2 · The registry

The trial behind it

Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.

Neither the registry nor the abstract names a trial number. If this is a trial report, that itself is worth knowing.

3 · Its place in the literature

Who cites it

1 citing paper in PubMed, 1 citations in OpenAlex.

  1. Article
4 · The record

Corrections and comments

PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.

5 · Who and what money

Authors and funding

8 authors at 6 institutions in 2 countries.

Rock P VomerFamily Medicine, Mayo Clinic, Jacksonville, USA.
Emma YorkFamily Medicine, Prisma Health University of South Carolina, Columbia, USA.
Julian GreerFamily Medicine, Greer Family Practice, Ocean City, USA.
Michael S LayneFamily Medicine, Eastern Virginia Medical School, Norfolk, USA.
John WhitentonEmergency Medicine, ApolloMD, Henderson, USA.
Jennifer WareFamily Medicine, Sentara Healthcare, Norfolk, USA.
Justin F TondtFamily and Community Medicine, Penn State College of Medicine, Penn State Milton S. Hershey Medical Center, Hershey, USA.
Margaret MurrayOccupational, Environmental and Climate Medicine, University of California San Francisco, San Francisco, USA.
Sentara Heart Hospital · USUniversity of San Francisco · USEastern Virginia Medical School · USHenderson Community College · USLaboratoire des Matériaux Avancés · FRThe Family Center · US

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

Background Emergency department (ED) visits are increasing in number and cost and becoming a major way patients are interacting with the healthcare system. Patients who frequently visit the ED are deemed "super-utilizers" who visit for a variety of reasons, including, but not limited to, multiple chronic medical illnesses, homelessness, and substance use disorder, but fail to have an established long-term treatment plan. Methodology We enrolled our hospital's top 50 super-utilizing patients into the Chronic Care Management Program. These patients received monthly telehealth visits to discuss concerns, chronic medical conditions, barriers to care, and support systems unique to each patient's living and social situation (i.e., social determinants of health). Telehealth visits also connected patients to community resources and helped them initiate advanced care services. Results The t-test investigating the frequency of avoidable visits pre- and post-intervention revealed a statistically significant decrease in the number of avoidable visits between the pre-intervention and post-intervention. Results also revealed a non-statistically significant difference in the cost of avoidable visits before and after the intervention. Conclusions The findings revealed a statistically significant decrease in patients' frequency of avoidable visits before and after the intervention.

Indexed as

chronic carecostemergency departmenthealthcare accessprimary care

Identifiers

PMID38034198
PMCPMC10688575
OpenAlexW4388081765

What OpenQuestion holds

Textmetadata
LicenceCC BY
Read underepoch 390

Registered trials

None linked

Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the OpenQuestion graph.