Randomized controlled study using text messages to help connect new medicaid beneficiaries to primary care

Abstract Accessing primary care is often difficult for newly insured Medicaid beneficiaries. Tailored text messages may help patients navigate the health system and initiate care with a primary care physician. We conducted a randomized controlled trial of tailored text messages with newly enrolled M...

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Autores principales:	David M. Levine, Pragya Kakani, Ateev Mehrotra
Formato:	article
Lenguaje:	EN
Publicado:	Nature Portfolio 2021
Materias:	Computer applications to medicine. Medical informatics R858-859.7
Acceso en línea:	https://doaj.org/article/bde716154ced407b9a7fa942ef510dee
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spelling	oai:doaj.org-article:bde716154ced407b9a7fa942ef510dee2021-12-02T12:11:40ZRandomized controlled study using text messages to help connect new medicaid beneficiaries to primary care10.1038/s41746-021-00389-52398-6352https://doaj.org/article/bde716154ced407b9a7fa942ef510dee2021-02-01T00:00:00Zhttps://doi.org/10.1038/s41746-021-00389-5https://doaj.org/toc/2398-6352Abstract Accessing primary care is often difficult for newly insured Medicaid beneficiaries. Tailored text messages may help patients navigate the health system and initiate care with a primary care physician. We conducted a randomized controlled trial of tailored text messages with newly enrolled Medicaid managed care beneficiaries. Text messages included education about the importance of primary care, reminders to obtain an appointment, and resources to help schedule an appointment. Within 120 days of enrollment, we examined completion of at least one primary care visit and use of the emergency department. Within 1 year of enrollment, we examined diagnosis of a chronic disease, receipt of preventive care, and use of the emergency department. 8432 beneficiaries (4201 texting group; 4231 control group) were randomized; mean age was 37 years and 24% were White. In the texting group, 31% engaged with text messages. In the texting vs control group after 120 days, there were no differences in having one or more primary care visits (44.9% vs. 45.2%; difference, −0.27%; p = 0.802) or emergency department use (16.2% vs. 16.0%; difference, 0.23%; p = 0.771). After 1 year, there were no differences in diagnosis of a chronic disease (29.0% vs. 27.8%; difference, 1.2%; p = 0.213) or appropriate preventive care (for example, diabetes screening: 14.1% vs. 13.4%; difference, 0.69%; p = 0.357), but emergency department use (32.7% vs. 30.2%; difference, 2.5%; p = 0.014) was greater in the texting group. Tailored text messages were ineffective in helping new Medicaid beneficiaries visit primary care within 120 days.David M. LevinePragya KakaniAteev MehrotraNature PortfolioarticleComputer applications to medicine. Medical informaticsR858-859.7ENnpj Digital Medicine, Vol 4, Iss 1, Pp 1-5 (2021)
institution	DOAJ
collection	DOAJ
language	EN
topic	Computer applications to medicine. Medical informatics R858-859.7
spellingShingle	Computer applications to medicine. Medical informatics R858-859.7 David M. Levine Pragya Kakani Ateev Mehrotra Randomized controlled study using text messages to help connect new medicaid beneficiaries to primary care
description	Abstract Accessing primary care is often difficult for newly insured Medicaid beneficiaries. Tailored text messages may help patients navigate the health system and initiate care with a primary care physician. We conducted a randomized controlled trial of tailored text messages with newly enrolled Medicaid managed care beneficiaries. Text messages included education about the importance of primary care, reminders to obtain an appointment, and resources to help schedule an appointment. Within 120 days of enrollment, we examined completion of at least one primary care visit and use of the emergency department. Within 1 year of enrollment, we examined diagnosis of a chronic disease, receipt of preventive care, and use of the emergency department. 8432 beneficiaries (4201 texting group; 4231 control group) were randomized; mean age was 37 years and 24% were White. In the texting group, 31% engaged with text messages. In the texting vs control group after 120 days, there were no differences in having one or more primary care visits (44.9% vs. 45.2%; difference, −0.27%; p = 0.802) or emergency department use (16.2% vs. 16.0%; difference, 0.23%; p = 0.771). After 1 year, there were no differences in diagnosis of a chronic disease (29.0% vs. 27.8%; difference, 1.2%; p = 0.213) or appropriate preventive care (for example, diabetes screening: 14.1% vs. 13.4%; difference, 0.69%; p = 0.357), but emergency department use (32.7% vs. 30.2%; difference, 2.5%; p = 0.014) was greater in the texting group. Tailored text messages were ineffective in helping new Medicaid beneficiaries visit primary care within 120 days.
format	article
author	David M. Levine Pragya Kakani Ateev Mehrotra
author_facet	David M. Levine Pragya Kakani Ateev Mehrotra
author_sort	David M. Levine
title	Randomized controlled study using text messages to help connect new medicaid beneficiaries to primary care
title_short	Randomized controlled study using text messages to help connect new medicaid beneficiaries to primary care
title_full	Randomized controlled study using text messages to help connect new medicaid beneficiaries to primary care
title_fullStr	Randomized controlled study using text messages to help connect new medicaid beneficiaries to primary care
title_full_unstemmed	Randomized controlled study using text messages to help connect new medicaid beneficiaries to primary care
title_sort	randomized controlled study using text messages to help connect new medicaid beneficiaries to primary care
publisher	Nature Portfolio
publishDate	2021
url	https://doaj.org/article/bde716154ced407b9a7fa942ef510dee
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Randomized controlled study using text messages to help connect new medicaid beneficiaries to primary care

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