Most Decline Proactive Care Coordination

"Lack of effective communication across physicians is a health system problem."

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Most patients offered proactive care coordination services declined, preferring to manage communication among their physicians.
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The trial found no significant reduction in ED visits or hospitalizations among older Medicare patients receiving proactive care coordination.
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Only 27% of patients in the intervention group accepted care management services compared to 100% in the usual-care group.
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Patients who declined care management often cited their ability to coordinate care independently as the main reason.
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The study highlights the need for more targeted care coordination models, addressing barriers faced by patients and clinicians.

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