Hypertensive patients' use of specialty services changed with primary care resdesign

Researchers studied how patients with treated hypertension used outpatient specialty care before, during, and after a primary-care redesign was spread system-wide. Patients with hypertension and few other conditions had 27-28 percent fewer specialty visits in each of the three years after redesign implementation started, compared to beforehand. Those with some other illnesses had 9 percent fewer specialty visits during medical home implementation and 5 percent fewer specialty visits during the f...