TY - JOUR
T1 - Innovative reflecting interview
T2 - Effect on high-utilizing patients with medically unexplained symptoms
AU - Rasmussen, Norman H.
AU - Furst, Joseph W.
AU - Swenson-Dravis, Dana M.
AU - Agerter, David C.
AU - Smith, Alan J.
AU - Baird, Macaran A
AU - Cha, Stephen S.
PY - 2006/12/1
Y1 - 2006/12/1
N2 - This pilot study was conducted to determine the effect of an innovative reflecting interview on the health care utilization, physical health, mental function, and health care satisfaction of high-utilizing primary care patients with medically unexplained physical symptoms. Twenty-four high-utilizing patients met study selection criteria and were randomly assigned to a no-intervention control group or a reflecting interview intervention group. Outcomes were measured at 4 weeks, 6 months, and 1 year after the date of study enrollment. Results indicated that high-utilizing patients with medically unexplained physical symptoms who participated in a reflecting interview had reduced total health care costs, primarily through the reduction of hospitalization or inpatient expenses, despite a modest increase in outpatient primary care clinic visits. These data suggest that participation in a reflecting interview and regular visits with a primary care clinician can decrease health care utilization without adversely affecting patient satisfaction.
AB - This pilot study was conducted to determine the effect of an innovative reflecting interview on the health care utilization, physical health, mental function, and health care satisfaction of high-utilizing primary care patients with medically unexplained physical symptoms. Twenty-four high-utilizing patients met study selection criteria and were randomly assigned to a no-intervention control group or a reflecting interview intervention group. Outcomes were measured at 4 weeks, 6 months, and 1 year after the date of study enrollment. Results indicated that high-utilizing patients with medically unexplained physical symptoms who participated in a reflecting interview had reduced total health care costs, primarily through the reduction of hospitalization or inpatient expenses, despite a modest increase in outpatient primary care clinic visits. These data suggest that participation in a reflecting interview and regular visits with a primary care clinician can decrease health care utilization without adversely affecting patient satisfaction.
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U2 - 10.1089/dis.2006.9.349
DO - 10.1089/dis.2006.9.349
M3 - Article
C2 - 17115882
AN - SCOPUS:33845405594
SN - 1093-507X
VL - 9
SP - 349
EP - 359
JO - Disease Management
JF - Disease Management
IS - 6
ER -