Integrated Neurology in Medicare Home Cuts Health Care Use

Share this content:
Integrated Neurology in Medicare Home Cuts Health Care Use
Integrated Neurology in Medicare Home Cuts Health Care Use

FRIDAY, Dec. 16, 2016 (HealthDay News) -- A model of a neurologist integrated and co-located in primary care, leveraging curbside, electronic, and traditional consultations, can reduce unnecessary health care use, according to a study published online Dec. 12 in the Journal of Evaluation in Clinical Practice.

Nathan P. Young, D.O., from the Mayo Clinic in Rochester, Minn., and colleagues developed a model of a neurologist integrated and co-located in primary care to examine the impact on health care resource use. During the 3.5 month pilot study, 359 unique patients generated 429 consultations (179 curbsides, 68 electronic consultations, and 182 face-to-face visits).

The researchers found that 78 face-to-face tertiary neurology consultations, 39 brain magnetic resonance imaging, 50 electromyograms, and 53 other advanced imaging studies were avoided with the integrated model. In 22 percent of patients, earlier curbside consultation may have prevented unnecessary testing or face-to-face tertiary neurology consultation. In 17 percent of patients, earlier face-to-face consultation may have avoided expensive testing. None of the cases met the criteria for an adverse outcome. There was a 64 percent decline in the number of referrals to tertiary neurology and a 25 percent decrease in the total number of face-to-face visits per month.

"Co-located neurology in a primary care medical home offers a promising intervention to deliver high-value care," the authors write.

Full Text (subscription or payment may be required)

Share this content:

is free, fast, and customized just for you!

Already a member?

Sign In Now »

Drug Lookup

Browse drugs by: BrandGenericDisease


Sign up for myCME e-newsletters


More in Home

Walmart Launches Disposal Solution for Opioids, Rx Meds

Walmart Launches Disposal Solution for Opioids, Rx Meds

DisposeRx, available at no cost, transforms prescription drugs into non-divertible, biodegradable gel

ADHD Meds Increasingly Prescribed to Reproductive-Aged Women

ADHD Meds Increasingly Prescribed to Reproductive-Aged Women

Increase of 344 percent, from 0.9 percent of women in 2003 to 4 percent of women in 2015

Bikram Yoga Improves Vascular Health With or Without Heat

Bikram Yoga Improves Vascular Health With or Without ...

Increase in brachial artery flow-mediated dilation seen in heated and thermoneutral environment

is free, fast, and customized just for you!

Already a member?

Sign In Now »