Taken together - those with few contact days may be dissatisfied due to access barriers, and above certain thresholds, more days may offer diminishing marginal benefits. A good reminder of the importance of making care more efficient when possible.
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Association of contact days with out-of-pocket spending
Every additional contact day cost patients an additional $49 out of pocket:
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Association of contact days with patient-reported ease in managing care
Patients with more contact days reported less ease in managing care:
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Association of contact days with patient satisfaction
We found an inverse U-shaped relationship between contact days and overall satisfaction:
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Contact Days, Care Experience, and Out-of-Pocket Spending
This cross-sectional study examines the level of satisfaction in care, ease of managing care, and out-of-pocket expenses among patients enrolled in traditional Medicare.
Health care contact days outside of the home, while often necessary, can place burdens on older adults and caregivers. In a new JAMA IM study, @ishaniganguli.bsky.social, John Orav, and I look at the relationship between contact days and other measures of patient experience. Key findings β¬οΈ
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Thanks also to co-author Meredith Rosenthal!
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Safe, Then Sorry? β The Psychological Biases that Drive Care Cascades - Journal of General Internal Medicine
Journal of General Internal Medicine -
Docs & patients know the pain of chasing borderline/incidental findings w/ a string of visits, tests and treatments. Yet after that initial test, these cascades can feel unavoidable. In a new @journalgim.bsky.social, @ishaniganguli.bsky.social and I explore reasons why & potential solutions:
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General internist, health services and clinical researcher | Health, education, infrastructure, opportunity for all Americans | Bicycles | Opinions, own
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