Journal of general internal medicine
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Randomized Controlled Trial Multicenter Study
A matched-pair cluster-randomized trial of guided care for high-risk older patients.
Patients at risk for generating high health care expenditures often receive fragmented, low-quality, inefficient health care. Guided Care is designed to provide proactive, coordinated, comprehensive care for such patients. ⋯ Guided Care improves high-risk older patients' ratings of the quality of their care, and it reduces their use of home care, but it does not appear to improve their functional health.