Does a large-scale organizational transformation toward patient-centered access change the utilization and costs of care for patients with diabetes Medical Care Research and Review, 06/01/2012

Grembowski D et al. – Primary care visits declined, but primary care contacts grew, largely from the Initiative’s introduction of secure messaging. Specialty visits did not change; however, the Initiative may have increased emergency visits. To reduce emergency visits, future access initiatives should include proactive and comprehensive outpatient care for patients with diabetes.

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