English (United Kingdom)

https://curated-unify.zendy.io/wp-json/zendy-region/v1/featured_content/oa?rat=en

https://curated-unify.zendy.io/wp-json/zendy-region/v1/highlighted_journal/

Global: Zendy Tools annual

Presents the keyphrase highlighting as premium feature

Keyphrase Highlighting

Presents the summarisation as premium feature

Summarisation

Insights

Presents the pdf analysis as premium feature

PDF Analysis

Presents the zaia usage as premium feature

ZAIA

Global: Zendy Tools monthly

Global: Zendy Plus monthly

Presents the access of premium content as premium feature

Premium Content

Global: Zendy Plus annual

Global: Zendy Free Plan

Background A minority of the U.S. population comprises a majority of health care expenses. Health system interventions for high-cost populations aim to improve patient outcomes while reducing costly over-utilization. Missed and inconsistent appointments are associated with poor patient outcomes and increased health care utilization. PEAK Health— Mount Sinai’s intensive primary care clinic for high-cost patients— employed a novel behavioral economics-based intervention to reduce the rate of missed appointments at the practice. Behavioral economics has accomplished numerous successes across the health care field; the effect of a clinic-based behavioral economics intervention on reducing missed appointments has yet to be assessed. Methods This was a single-arm, pre-post trial conducted over 1 year involving all active patients at PEAK Health. The intervention consisted of: a) clinic signage, and b) appointment reminder cards containing behavioral economics messaging designed to increase the likelihood patients would complete their subsequent visit; appointment cards ( t1 ) were transitioned to an identical EMR template ( t2 ) at 6 months to boost provider utilization. The primary objective, the success of scheduled appointments, was assessed with  visit adherence : the proportion of successful over all scheduled appointments, excluding those cancelled or rescheduled. The secondary objective, the consistency of appointments, was assessed with a 2-month  visit constancy  rate: the percentage of patients with at least one successful visit every 2 months for 1 year. Both metrics were assessed via a χ 2  analysis and together define  patient retention . Results The  visit adherence  rate increased from 74.7% at baseline to 76.5% ( p = .22 ) during  t1  and 78.0% ( p = .03 ) during  t2 . The 2-month  visit constancy  rate increased from 59.5% at baseline to 74.3% ( p = .01)  post-intervention. Conclusions A low-resource, clinic-based behavioral economics intervention was capable of improving  patient retention  within a traditionally high-cost population. A renewed focus on  patient retention — employing the metrics described here— could bolster chronic care efforts and significantly improve the outcomes of high-cost programs by reducing the deleterious effects of missed and inconsistent appointments.

The success of behavioral economics in improving patient retention within an intensive primary care practice