Patient Priorities Care Increases Long-Term Service and Support Use: Propensity Match Cohort Study.
Rafael Samper-Ternent, Javad Razjouyan, Lilian Dindo and 4 others
PMID 38320742WHAT IT FOUND
Older Veterans whose social workers used Patient Priorities Care were more likely to start home and community services than matched usual care Veterans, without more emergency or urgent care visits.
Key findings
01After the Patient Priorities Care visit, Veterans had significantly higher odds of using home and community services in the next 12 months than matched usual care Veterans.
02The higher home and community service use was seen among Veterans who lived more than 2 years and among nonfrail Veterans.
03Emergency and urgent care use did not significantly differ between groups after the visit.
STILL TO COME
How it was doneWhat they foundWhat it means for OTs
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What it does not show
This was not randomized; social workers chose which Veterans received Patient Priorities Care, so the same factors may have influenced both the PPC visit and service use. The sample was older Veterans in five VHA locations, mostly non-Hispanic white men, so results may not apply to other adults or settings. Only VHA encounters and home and community-based services were examined, not services outside VHA or institutional care. The primary result was just at the significance threshold (P = .05). Regional differences in VHA station and rural or urban location remained between groups.
Declared interests
The authors declare no conflicts of interest. The training was supported by the VHA National Social Work Program and Office of Rural Health, and the article is listed as NIH extramural and non-U.S. government research support. The supplied text does not say the sponsor designed or wrote the study.
The easy way to misread this
Do not conclude that Patient Priorities Care causes more home and community services or that it will improve outcomes for all older adults. The study was observational, social workers chose which Veterans received the approach, and the sample was older Veterans in the VHA system.