A Qualitative Implementation Study to Improve Medicare Annual Wellness Visits.

IF 2.6 3区医学 Q1 MEDICINE, GENERAL & INTERNAL

Journal of the American Board of Family Medicine Pub Date : 2025-03-01 DOI:10.3122/jabfm.2024.240217R4

Joanne E Wilkinson, Roberta E Goldman, Jeffrey Borkan, Christine Ferrone, Philip Clark

引用次数: 0

Abstract

Background: The Medicare Annual Wellness Visit (AWV) has high potential value depending on its implementation and clinical setting. We studied the perceived value of the AWV in a residency clinic providing care for underserved patients.

Methods: Qualitative interviews with both physicians and patients with deidentified transcription and immersion-crystallization analysis.

Results: Physicians and patients identified the following learning points: 1) preparing patients for the AWV; 2) aligning expectations and agenda; and 3) optimizing the value of the AWV given patients' competing demands.

Discussion: The Medicare AWV is a promising tool but needs thoughtful implementation to make it valuable in underserved trainee settings.

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改善医疗保险年度健康访视的质性实施研究。

背景：医疗保险年度健康访视（AWV）具有很高的潜在价值，取决于其实施和临床环境。我们研究了在住院医师诊所为服务不足的病人提供护理的AWV的感知价值。方法：对医生和患者进行定性访谈，采用去识别转录法和浸没结晶分析法。结果：医生和患者确定了以下学习点：1)为患者准备AWV；2)调整期望和议程；3)在患者竞争需求条件下优化AWV值。讨论：医疗保险AWV是一个很有前途的工具，但需要深思熟虑的实施，使其在服务不足的实习生环境中有价值。

本文章由计算机程序翻译，如有差异，请以英文原文为准。

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来源期刊

Journal of the American Board of Family Medicine 医学-医学：内科

CiteScore

4.90

自引率

6.90%

发文量

168

审稿时长

4-8 weeks

期刊介绍： Published since 1988, the Journal of the American Board of Family Medicine ( JABFM ) is the official peer-reviewed journal of the American Board of Family Medicine (ABFM). Believing that the public and scientific communities are best served by open access to information, JABFM makes its articles available free of charge and without registration at www.jabfm.org. JABFM is indexed by Medline, Index Medicus, and other services.