Annals of family medicine
-
Annals of family medicine · May 2023
ReviewThe Impact of Interpersonal Continuity of Primary Care on Health Care Costs and Use: A Critical Review.
Interpersonal continuity has been shown to play an essential role in primary care's salutary effects. Amid 2 decades of rapid evolution in the health care payment model, we sought to summarize the range of peer-reviewed literature relating continuity to health care costs and use, information critical to assessing the need for continuity measurement in value-based payment design. ⋯ Interpersonal continuity today remains significantly associated with lower health care costs and more appropriate use. Further research is needed to disaggregate these associations at the clinician, team, practice, and system levels, but continuity assessment is clearly important to designing value-based payment for primary care.
-
Annals of family medicine · May 2023
Randomized Controlled Trial"Three Good Things" Digital Intervention Among Health Care Workers: A Randomized Controlled Trial.
Positive psychology shows promise in improving positive affect and happiness. We tested a digital version of a positive psychology intervention called Three Good Things (3GT) among health care workers to assess whether gratitude practice improved well-being. ⋯ Our research showed adherence to a positive psychology intervention for health care workers created small positive improvements immediately post-intervention but were not sustained. Further work should evaluate whether utilizing different duration or intensity of the intervention improves benefits.