RT Journal Article
SR Electronic
T1 Impact Of A Patient Education Intervention On Appropriate Utilization Of Clinic Services
JF The Journal of the American Board of Family
                Practice
JO J Am Board Fam Med
FD American Board of Family Medicine
SP 411
OP 418
DO 10.3122/jabfm.4.6.411
VO 4
IS 6
A1 Bertakis, Klea D.
YR 1991
UL http://www.jabfm.org/content/4/6/411.abstract
AB Background: Patient education interventions have been identified as a means of decreasing the utilization of ambulatory services; however, research on the impact of self-care initiatives should also assess changes in the appropriateness of patient visits. Methods: New patients to the Family Practice Clinic at a university medical center were randomized into control and experimental groups. Experimental patients received the Family Practice Clinic Patient Medical Advisor Booklet and an educational presentation. Controls received the booklet without the educational intervention. Results: Over the subsequent year, there were no significant differences in the total number of visits or telephone calls to the Family Practice Clinic by either group. The total number of visits to other medical center clinics and the emergency department was also similar. The experimental group, however, showed a statistically higher percentage of appropriate Family Practice Clinic visits, and their telephone calls to the clinic for advice tended to be more appropriate. Finally, experimental group patients had a significantly higher percentage of appropriate visits to the emergency department than did oontrol group patients. Conclusions: Although this educational intervention did not change the total number of patient visits or telephone calls, it did have an impact on the appropriateness of patient utilization of health care services.