1 December 2017

Effectiveness of Intensive Primary Care Interventions: A Systematic Review

Effectiveness of Intensive Primary Care Interventions: A Systematic Review
Journal of General Internal Medicine December 2017, v32(12), pp 1377–1386 
  • A systematic review of the evidence for the impact of intensive primary care programs on all-cause mortality, hospitalisation, and emergency department use identified 18 studies (n=379,745).
  • Three major intensive primary care program types were identified: 
    • primary care replacement (home-based; three RCTs, one observational study, N = 367,681), 
    • primary care replacement (clinic-based; three RCTs, two observational studies, N = 9561), and 
    • primary care augmentation, in which an interdisciplinary team was added to existing primary care (five RCTs, three observational studies, N = 2503). 
  • Most studies were small (