High-Risk Patient Experiences Associated With an Intensive Primary Care Management Program in the Veterans Health Administration

J Ambul Care Manage. 2023 Jan-Mar;46(1):45-53. doi: 10.1097/JAC.0000000000000428. Epub 2022 Aug 27.


Intensive management programs may improve health care experiences among high-risk and complex patients. We assessed patient experience among (1) prior enrollees (n = 59) of an intensive management program (2014-2018); (2) nonenrollees (n = 356) at program sites; and (3) nonprogram site patients (n = 728), using a patient survey based on the Consumer Assessment of Healthcare Providers and Systems in 2019. Outcomes included patient ratings of patient-centered care; overall health care experience; and satisfaction with their usual outpatient care provider. In multivariate models, enrollees were more satisfied with their current provider versus nonenrollees within program sites (adjusted odds ratio 2.36; 95% confidence interval 1.15-4.85).

MeSH terms

  • Humans
  • Patient Outcome Assessment
  • Patient Satisfaction
  • Primary Health Care
  • United States
  • United States Department of Veterans Affairs*
  • Veterans Health
  • Veterans*