In Sickness and In Health: Motivating Improved Healthcare Using Holistic Patient Contracts

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dc.creatorCroke, Kevin
dc.creatorDaniels, Benjamin
dc.creatorLipinski, Robert
dc.creatorRogger, Daniel
dc.date2026-05-20T17:09:30Z
dc.date2026-05-20T17:09:30Z
dc.date2026-05-19
dc.date.accessioned2026-07-01T00:30:57Z
dc.descriptionThis paper examines the impacts of family doctors writing an explicit “care contract” with at-risk patients for increased holistic primary care. The intervention was designed to shift the care relationship between the two parties away from episodic curative care and towards a holistic plan for patient welfare. The experiment tracked healthcare utilization, diagnosis, prescription, hospitalization, and mortality outcomes through the universe of patient records. The program caused increased screening, diagnosis and treatment of chronic health issues among enrolled patients by about 10% across these categories, with suggestive evidence that hospitalization declined by 8%. Among ‘mild-risk’ patients, the treatment group experienced annual reductions in all-cause mortality of 20%, in an analysis pre-specified as exploratory.
dc.formatapplication/pdf
dc.formattext/plain
dc.identifierhttps://openknowledge.worldbank.org/entities/publication/f4a0c6ba-e84e-41d5-a22e-7fa096338cea
dc.identifierhttps://hdl.handle.net/10986/44907
dc.identifier10.1596/1813-9450-11388
dc.identifier.urihttp://hdl.handle.net/123456789/405034
dc.languageEnglish
dc.languageen_US
dc.publisherWashington, DC: World Bank
dc.relationPolicy Research Working Paper; 11388
dc.rightsCC BY 3.0 IGO
dc.rightshttps://creativecommons.org/licenses/by/3.0/igo/
dc.rightsWorld Bank
dc.subjectGOOD HEALTH
dc.subjectHOLISTIC PRIMARY CARE
dc.subjectHEALTHCARE UTILIZATION
dc.subjectHEALTH SERVICE MANAGEMENT AND DELIVERY
dc.titleIn Sickness and In Health: Motivating Improved Healthcare Using Holistic Patient Contracts
dc.typeWorking Paper

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