ArticleFrontiers in health services2025
Sustainability of evidence-based primary care programs in Abu Dhabi: impact of COVID-19.
Article in Frontiers in health services, 2025. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Not yet cited in PubMed.
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Abstract
Introduction: The Abu Dhabi Ambulatory Healthcare Services (AHS) implemented the Chronic Disease Care (CDC) and Patient-Centered Medical Home (PCMH) programs. This study describes the implementation and integration of these two programs into the operations of AHS centers and assesses their long-term sustainability. Method: This retrospective cohort study included all AHS centers. The sustainability of both programs was assessed twice yearly using the NCQA self-assessment audit and the CDC system audit. The care outcomes were measured through routinely collected Key Performance Indicators (KPIs) at multiple data collection points in 2018, 2021, and 2022. The study period included the COVID-19 period, providing an opportunity to examine the effect of pre-pandemic program scores on centers' performance during the pandemic. The KPIs are categorized into clinical, preventive, and utilization outcomes. Results: Linear regression showed that the key performance indicator (KPI) for the best-performing centers had significantly higher PCMH scores, Conclusion: The AHS centers successfully implemented both programs sustainably. The study findings highlight areas for sustainability research that demonstrate the value of sustainable interventions.
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