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June 27, 2026PLoS ONEOpen Access

Embedding a primary care provider in sickle cell teams improves sickle cell care

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Authors

SDSherraine Della‐MorettaRWRina Li WelkieNQNives Quaye

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Overview

Retrospective cohort study shows improved preventive care in adults with sickle cell disease through embedded PCP model, suggesting better management.

Key Points

  • To evaluate if embedding a primary care provider improves adherence to clinical guidelines and reduces healthcare utilization in adults with sickle cell disease.
  • Retrospective cohort study conducted at a tertiary care center from July 2020 to June 2025.
  • 388 adults with sickle cell disease, 174 of whom received care from an embedded primary care provider.
  • Analysis of adherence to preventive care guidelines and healthcare utilization metrics before and after PCP embedding.
  • Patients with the embedded PCP showed higher adherence to preventive care measures (e.g., cervical cancer screening OR: 4.49; 95% CI: 2.46, 8.23).
  • Annual outpatient visits increased significantly (4.2 after PCP vs 2.7 before PCP, p < 0.0001).
  • Fewer inpatient admissions were observed, though not statistically significant (1.4 after PCP vs 1.9 before PCP, p = 0.4869).

Cite This Study

Della‐Moretta et al. (2026) studied this question.

synapsesocial.com/papers/6a3f694caea7db3c1954012ahttps://doi.org/10.1371/journal.pone.0352670
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Also Consider

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  1. 1Implementation of a comprehensive sickle cell center leads to improved access to care and decreased acute care use2026
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  4. 4Consolidation of adult inpatient sickle cell care to improve patients' and learners' experiences: A qualitative exploration of various stakeholders' perspectives2025
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