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Changes in healthcare utilization and costs following enrollment in an interprofessional primary care clinic designed to address clinical and social vulnerabilities.

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Title: Changes in healthcare utilization and costs following enrollment in an interprofessional primary care clinic designed to address clinical and social vulnerabilities.
Authors: Kelley, A. Taylor (AUTHOR), Yoo, Minkyoung (AUTHOR), Suo, Ying (AUTHOR), Nelson, Richard E. (AUTHOR), Gordon, Adam J. (AUTHOR), Jones, Audrey L. (AUTHOR)
Source: Journal of Interprofessional Care. Nov/Dec2025, Vol. 39 Issue 6, p1070-1080. 11p.
Subjects: Substance abuse treatment, Medical care use, Social determinants of health, Research funding, Cost effectiveness, Outpatient services in hospitals, Primary health care, Evaluation of human services programs, Retrospective studies, Hospital emergency services, Descriptive statistics, Longitudinal method, Medical records, Acquisition of data, Homelessness, Comparative studies, Data analysis software, Length of stay in hospitals, Veterans' hospitals, Health care teams, Medical care costs, Critical care medicine
Geographic Terms: Utah
Abstract: Meeting the needs of patients with substance use disorders (SUDs), complex comorbidity, and social determinants of poor health is challenging in traditional primary care environments. Interprofessional primary care (IPC) can better address these needs and may reduce acute care utilization and healthcare costs. We used a retrospective cohort study design (n = 994 patients) to compare healthcare utilization and costs 2 years before and after patients enrolled in an IPC model in the US Veterans Health Administration. Patients were grouped based on histories of high emergency department (ED) use, SUDs, homelessness, and combinations of these vulnerabilities. Generalized estimating equations (GEE) tested for differences in utilization and costs across groups. Following IPC enrollment, primary care visits and costs increased overall (adjusted increase = 2.90–7.24 visits/person-year; $1,032–$2,817/person-year). Among patients with prior high ED use, acute care costs declined; among patients without prior high ED use, acute care costs were mixed and ED use increased. Total costs decreased, were neutral, and increased for patients with 3, 1–2, and no vulnerabilities, respectively. Primary care engagement, reduced acute care, and limited cost increases suggest high value in this IPC model and highlight the need to further study IPC in addressing addiction and social determinants of poor health. [ABSTRACT FROM AUTHOR]
Copyright of Journal of Interprofessional Care is the property of Taylor & Francis Ltd and its content may not be copied or emailed to multiple sites without the copyright holder's express written permission. Additionally, content may not be used with any artificial intelligence tools or machine learning technologies. However, users may print, download, or email articles for individual use. This abstract may be abridged. No warranty is given about the accuracy of the copy. Users should refer to the original published version of the material for the full abstract. (Copyright applies to all Abstracts.)
Database: Psychology and Behavioral Sciences Collection
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  Data: Changes in healthcare utilization and costs following enrollment in an interprofessional primary care clinic designed to address clinical and social vulnerabilities.
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  Data: <searchLink fieldCode="JN" term="%22Journal+of+Interprofessional+Care%22">Journal of Interprofessional Care</searchLink>. Nov/Dec2025, Vol. 39 Issue 6, p1070-1080. 11p.
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  Data: <searchLink fieldCode="DE" term="%22Utah%22">Utah</searchLink>
– Name: Abstract
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  Data: Meeting the needs of patients with substance use disorders (SUDs), complex comorbidity, and social determinants of poor health is challenging in traditional primary care environments. Interprofessional primary care (IPC) can better address these needs and may reduce acute care utilization and healthcare costs. We used a retrospective cohort study design (n = 994 patients) to compare healthcare utilization and costs 2 years before and after patients enrolled in an IPC model in the US Veterans Health Administration. Patients were grouped based on histories of high emergency department (ED) use, SUDs, homelessness, and combinations of these vulnerabilities. Generalized estimating equations (GEE) tested for differences in utilization and costs across groups. Following IPC enrollment, primary care visits and costs increased overall (adjusted increase = 2.90–7.24 visits/person-year; $1,032–$2,817/person-year). Among patients with prior high ED use, acute care costs declined; among patients without prior high ED use, acute care costs were mixed and ED use increased. Total costs decreased, were neutral, and increased for patients with 3, 1–2, and no vulnerabilities, respectively. Primary care engagement, reduced acute care, and limited cost increases suggest high value in this IPC model and highlight the need to further study IPC in addressing addiction and social determinants of poor health. [ABSTRACT FROM AUTHOR]
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  Data: <i>Copyright of Journal of Interprofessional Care is the property of Taylor & Francis Ltd and its content may not be copied or emailed to multiple sites without the copyright holder's express written permission. Additionally, content may not be used with any artificial intelligence tools or machine learning technologies. However, users may print, download, or email articles for individual use. This abstract may be abridged. No warranty is given about the accuracy of the copy. Users should refer to the original published version of the material for the full abstract.</i> (Copyright applies to all Abstracts.)
PLink https://search.ebscohost.com/login.aspx?direct=true&site=eds-live&db=pbh&AN=189324885
RecordInfo BibRecord:
  BibEntity:
    Identifiers:
      – Type: doi
        Value: 10.1080/13561820.2025.2507968
    Languages:
      – Code: eng
        Text: English
    PhysicalDescription:
      Pagination:
        PageCount: 11
        StartPage: 1070
    Subjects:
      – SubjectFull: Substance abuse treatment
        Type: general
      – SubjectFull: Medical care use
        Type: general
      – SubjectFull: Social determinants of health
        Type: general
      – SubjectFull: Research funding
        Type: general
      – SubjectFull: Cost effectiveness
        Type: general
      – SubjectFull: Outpatient services in hospitals
        Type: general
      – SubjectFull: Primary health care
        Type: general
      – SubjectFull: Evaluation of human services programs
        Type: general
      – SubjectFull: Retrospective studies
        Type: general
      – SubjectFull: Hospital emergency services
        Type: general
      – SubjectFull: Descriptive statistics
        Type: general
      – SubjectFull: Longitudinal method
        Type: general
      – SubjectFull: Medical records
        Type: general
      – SubjectFull: Acquisition of data
        Type: general
      – SubjectFull: Homelessness
        Type: general
      – SubjectFull: Comparative studies
        Type: general
      – SubjectFull: Data analysis software
        Type: general
      – SubjectFull: Length of stay in hospitals
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      – SubjectFull: Veterans' hospitals
        Type: general
      – SubjectFull: Health care teams
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      – SubjectFull: Medical care costs
        Type: general
      – SubjectFull: Critical care medicine
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      – SubjectFull: Utah
        Type: general
    Titles:
      – TitleFull: Changes in healthcare utilization and costs following enrollment in an interprofessional primary care clinic designed to address clinical and social vulnerabilities.
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              Text: Nov/Dec2025
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