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A Multi-Site Evaluation of Primary Care Accessibility and Utilization during COVID-19

Award Number: R01HS028255
ORGANIZATION: AGENCY FOR HEALTH CARE RESEARCH AND QUALITY
OPDIV: AHRQ
AWARD CLASS: DISCRETIONARY
AWARD ACTIVITY TYPE: SCIENTIFIC/HEALTH RESEARCH (INCLUDES SURVEYS)
PERIOD OF PERFORMANCE START DATE: 01/01/2021
PERIOD OF PERFORMANCE END DATE: 12/31/2022

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A Multi-Site Evaluation of Primary Care Accessibility and Utilization during COVID-19 - ABSTRACT The objective of the proposed research is to evaluate how patient access and utilization of primary care was disrupted by COVID-19 across three healthcare systems, with a focus on patients with chronic conditions. Our rigorous evaluation has three aims. Aim 1 is to determine whether patients were able to access primary care and, for those who did access care, identification of the modalities to access care (in-person, telehealth (video or phone), asynchronous communication, or multiple modalities). Further, we will identify subpopulations that were disproportionately affected including and may not have been able to access care at all. Aim 2 is to identify barriers and facilitators to digital health access across three sites. Aim 3 is to evaluate how the modality used to access primary care, or the lack of access to primary care, during COVID-19 impacts future healthcare access and utilization for patients with chronic conditions, and other at-risk populations. The research effort is a unique collaborative between MedStar Health, Stanford Health Care, and Intermountain Healthcare. This project utilizes the extensive expertise of the diverse research team which includes data scientists, human factors experts, informaticists, health disparities researchers and clinical experts in digital health. The proposal is directly aligned with AHRQ’s priority area of making health care accessible and safer. To achieve aims one and three we will use rigorous data science and informatics methods. To achieve aim 2, we will use a mixed methods approach that includes interviews of subject matter experts and patients from each of the three sites with a socio-technical systems model as the foundation for our interviews. Contributions from this research will include a detailed understanding of access modalities that are most frequently used, patient populations that may be disproportionately impacted by COVID-19, and identification of barriers and facilitators to digital health models of care. Our rigorous dissemination plan includes communication of results to policymakers and advocacy groups, clinical leaders and other organizations that serve to improve clinical practice, as well as academic audiences. Results from aim 1 will be available within 4- 6 months of project start and the entire project will be completed in two years.


Issue Date FY	Funding FY	Legal Entity Name	Legal Entity Address	Legal Entity City	Legal Entity State	Legal Entity Zip Code	Legal Entity COUNTY	Legal Entity COUNTRY	Assistance Listing	Award Code	Budget Year	Action Date	Action Type	Action Amount

Issue Date FY: 2023 ( Subtotal = -$1 )
2023	2022	MEDSTAR HEALTH RESEARCH INSTITUTE INC	6525 BELCREST RD	HYATTSVILLE	MD	20782	PRINCE GEORGES	USA	Research on Healthcare Costs, Quality and Outcomes	000	2	4/17/2023	NON-COMPETING CONTINUATION	-$1
														Subtotal = -$1

Issue Date FY: 2022 ( Subtotal = $494,388 )
2022	2022	MEDSTAR HEALTH RESEARCH INSTITUTE, INC.	6525 BELCREST RD STE 700	HYATTSVILLE	MD	20782	PRINCE GEORGES	USA	Research on Healthcare Costs, Quality and Outcomes	000	2	12/20/2021	NON-COMPETING CONTINUATION	$494,388
														Subtotal = $494,388

Issue Date FY: 2021 ( Subtotal = $499,569 )
2021	2021	MEDSTAR HEALTH RESEARCH INSTITUTE, INC.	6525 BELCREST RD STE 700	HYATTSVILLE	MD	20782	PRINCE GEORGES	USA	Research on Healthcare Costs, Quality and Outcomes	000	1	12/14/2020	NEW	$499,569
														Subtotal = $499,569

Grand Total All Awards = $993,956

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A Multi-Site Evaluation of Primary Care Accessibility and Utilization during COVID-19

Award Number: R01HS028255

ORGANIZATION: AGENCY FOR HEALTH CARE RESEARCH AND QUALITY

OPDIV: AHRQ

AWARD CLASS: DISCRETIONARY

AWARD ACTIVITY TYPE: SCIENTIFIC/HEALTH RESEARCH (INCLUDES SURVEYS)

PERIOD OF PERFORMANCE START DATE: 01/01/2021

PERIOD OF PERFORMANCE END DATE: 12/31/2022

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