Hip replacement patients who received "aggressive post-discharge care" from a patient-centered medical home care management model experienced reduced six-month mortality rates without increasing costs, according to a study in Patient Safety in Surgery.
Researchers analyzed outcomes for patients treated for hip fractures for 18 months at two hospitals. The six-month mortality rate for patients receiving PCMH care was 11 percent, compared to 26 percent for patients receiving standard care.
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The 12-month mortality rate also differed, 23 percent for PCMH patients and 30 percent for standard care patients, but researchers said the difference is not statistically significant.
Additionally, the average cost per PCMH patient per month (excluding pharmacy costs) was $1212, compared to $1452 for standard care patients. Again, researchers said this difference is not statistically significant.
Researchers suggest PCMH care offers benefits in terms of reduced six-month mortality rates without negatively impacting cost.
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