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Physicians in Supporting Roles in Chronic Disease Care: The CareMore Model
David B. Reuben. Journal of the American Geriatrics Society, 2011-01-01
Topic: Risk, prevention and care in population studies
In most of these nonacademic healthcare delivery systems, traditional randomized clinical trial designs to evaluate effectiveness are too rigid, too expensive, and take too long to achieve results. Thirty-day rehospitalization rates are 13.6%, compared with 20% in the overall Medicare population.2 The average length of hospital stay is 3.0 days. Overall, CareMore has estimated that payers' risk-adjusted total per capita health spending is 15% below the regional average.3 On the 2009 annual Consumer Assessment of Healthcare Providers and Systems, CareMore scored 8.81 out of 10; the national average was 8.47, and the California state average was 8.57. Nurse practitioners monitor all patients who use these remote monitoring programs and are alerted to changes and out-of-range results. Does the emphasis on specialists who practice conservative management result in less access to the newest technology? The initial CareMore experience suggests that comparable or better care can be provided with fewer physicians.
Key findings
- In most of these nonacademic healthcare delivery systems, traditional randomized clinical trial designs to evaluate effectiveness are too rigid, too expensive, and take too long to achieve results.
- Thirty-day rehospitalization rates are 13.6%, compared with 20% in the overall Medicare population.2 The average length of hospital stay is 3.0 days.
- Overall, CareMore has estimated that payers' risk-adjusted total per capita health spending is 15% below the regional average.3 On the 2009 annual Consumer Assessment of Healthcare Providers and Systems, CareMore scored 8.81 out of 10; the national average was 8.47, and the California state average was 8.57.
- Nurse practitioners monitor all patients who use these remote monitoring programs and are alerted to changes and out-of-range results.
- Does the emphasis on specialists who practice conservative management result in less access to the newest technology?
Why it matters
This article describes the CareMore model of chronic disease care, reporting lower rehospitalization rates and estimated health spending below regional averages. It does not address treating, curing, or preventing Alzheimer's disease.
Study details
- Participants75
- Effect size13.6%
- Evidence strengthHigh
How this study scored 47/100
Published in a peer-reviewed journal. Scored zero for study design and randomised / blinded because the record does not state it.
| Component | Points | Why |
|---|---|---|
| Journal tier | 7 / 10 | Tier 3 — peer-reviewed journal (Journal of the American Geriatrics Society) |
| Journal's citation record | 3 / 4 | Journal of the American Geriatrics Society: journal h-index 344 (OpenAlex, 2026-10-29) |
| Study design | 0 / 12 | No study design recorded — scores zero, not guessed (not stated in the record — scored 0) |
| Strength of evidence | 5 / 5 | Rated “high” in our summary |
| Peer-review validation | 10 / 10 | Peer-reviewed. Published as an article in a named peer-reviewed journal. |
| How recent | 1 / 5 | 2011 — within 20 year(s) of the newest study here |
| Sample size | 1 / 4 | 75 participants |
| Effect reported | 2 / 3 | Effect reported as a number, without an interval or test |
| Studied in people | 3 / 3 | Studied in people (participant count stated) |
| Randomised / blinded | 0 / 2 | No randomisation or blinding stated — scores zero (not stated in the record — scored 0) |
| Times cited | 3 / 7 | Cited 24 times (OpenAlex, 2026-10-10) |
| Citations per year | 1 / 5 | 1.4 citations a year over 17 year(s) since 2011 |
| Impact for its field and year | 3 / 6 | Cited 4.1× the average for papers of its field and year (OpenAlex FWCI) |
| Cited by studies here | 0 / 6 | No other study in this library cites it |
| Still being cited | 1 / 4 | Cited 3 times in 2024–2026 (2026 still in progress; OpenAlex) |
| Senior author's track record | 3 / 4 | Last-listed author David B. Reuben: h-index 74 (OpenAlex, whole career) |
| Institution's track record | 2 / 3 | University of California, Los Angeles: institution h-index 1,923 (OpenAlex) |
| Multi-centre collaboration | 0 / 3 | OpenAlex lists 1 institution(s) in 1 country — scores zero (affiliation lists can be incomplete) |
| Indexed in PubMed | 2 / 2 | Indexed in PubMed (PMID 21226686) |
| Free to read | 0 / 2 | Behind a paywall — scores zero |
| Total | 47 / 100 | — |
What each of these 20 components measures, and what this score is not →
Read the original
May need a subscription OpenAlex found no free copy of the full text (checked 6 Feb 1020), so the publisher may charge for it. The PubMed abstract is free.
Cite this study APA, Vancouver, BibTeX · download .bib or .ris
Built from the record alzhub holds for this paper, not looked up. Volume, issue and page numbers are not held in the record. Check the citation against the original before you use it.
APA 7th
Reuben, D. B. (2011). Physicians in Supporting Roles in Chronic Disease Care: The CareMore Model. Journal of the American Geriatrics Society. https://doi.org/10.1111/j.1532-5415.2010.03237.x
Vancouver
Reuben DB. Physicians in Supporting Roles in Chronic Disease Care: The CareMore Model. Journal of the American Geriatrics Society. 2011. doi:10.1111/j.1532-5415.2010.03237.x. PMID: 21226686.
BibTeX
@article{reuben2011-21226686,
author = {Reuben, David B.},
title = {{Physicians in Supporting Roles in Chronic Disease Care: The CareMore Model}},
journal = {Journal of the American Geriatrics Society},
year = {2011},
doi = {10.1111/j.1532-5415.2010.03237.x},
pmid = {21226686},
url = {https://doi.org/10.1111/j.1532-5415.2010.03237.x}
}
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