Journal ArticleDOI
Bringing managed care home to people with chronic, disabling conditions: prospects and challenges for policy, practice, and research.
TLDR
The authors conclude that although even the best-positioned home care organizations will face significant challenges in transitioning to managed care systems, changes in the environment may enable these challenges to be overcome.Abstract:
This article examines the challenges and opportunities inherent in the idea that home care organizations may be able to reinvent themselves into managed care systems for the frail elderly and chronically ill. Data come from three sources: (a) existing literature, (b) a survey with experts, and (c) insights from an organization with direct experience in designing and implementing first- and second-generation managed care programs. The authors conclude that although even the best-positioned home care organizations will face significant challenges in transitioning to managed care systems (e.g., establishing medical linkages, building managed care capacity, securing funding, dealing with regulatory hurdles), changes in the environment may enable these challenges to be overcome. Home care organizations are beginning to use innovative techniques to manage care, and those with a strong commitment to the chronically ill may be interested and capable of pursuing the option of becoming home-based managed chronic care programs.read more
Citations
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Journal ArticleDOI
Transitional Care : Moving patients from one care setting to another
Mary D. Naylor,Stacen Keating +1 more
TL;DR: Moving patients from one care setting to another is a challenge for health professionals, so it is important to understand the needs of patients before and during the move.
Journal ArticleDOI
Transitions of elders between long-term care and hospitals.
TL;DR: The case is made that reducing preventable hospitalizations and improving transitions to and from hospitals will enhance health care quality and outcomes among elders with acute hospitalizations.
Journal ArticleDOI
Consumer-directed services: lessons and implications for integrated systems of care.
TL;DR: This policy paper explores the rationale and models of consumer-directed services at home, reviews developments, designs and outcomes of programs in the Austria, Germany, The Netherlands, and the US, and discusses how this experience could be helpful in shaping better and more responsive integrated models of care for vulnerable long term care populations.
Journal ArticleDOI
The quest for integrated systems of care for frail older persons
TL;DR: The author critically examines the concept of integrated systems of care for the frail elderly, including the theoretical benefits and drawbacks of the model, as well as a representative sample of such projects in the US (Social HMO and PACE), Canada, Canada, Italy, Italy and Australia.
Journal ArticleDOI
A framework for understanding outcomes of integrated care programs for the hospitalised elderly
Jacqueline M. Hartgerink,Jane M. Cramm,Jeroen D H van Wijngaarden,Ton J. E. M. Bakker,Johan P. Mackenbach,Anna P. Nieboer +5 more
TL;DR: A framework can be used to identify the underlying mechanisms of integrated care responsible for producing favourable outcomes, allowing comparisons across programmes and it is expected that insight into the cognitive and behavioural mechanisms will contribute to the understanding of Integrated care programmes.
References
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Journal Article
Improving outcomes in chronic illness.
TL;DR: The challenge is to organize these components into an integrated system of chronic illness care, even in managed, integrated delivery systems.
Journal ArticleDOI
Program of All‐inclusive Care for the Elderly (PACE): An Innovative Model of Integrated Geriatric Care and Financing
TL;DR: The Program of All‐inclusive Care for the Elderly (PACE) is a long‐term care delivery and financing innovation that aims to prevention of unnecessary use of hospital and nursing home care.
Journal ArticleDOI
Lay participation in health care decision making: a conceptual framework.
Cathy Charles,Suzanne. DeMaio +1 more
TL;DR: This article presents a framework based on decision-making domains, role perspectives, and levels of participation and is intended as an initial step toward providing greater conceptual clarity regarding the key dimensions and goals of lay participation in health care decision making.
Journal ArticleDOI
Effectiveness of team-managed home-based primary care: a randomized multicenter trial.
Susan L. Hughes,Frances M. Weaver,Anita Giobbie-Hurder,Larry M. Manheim,William G. Henderson,Joseph D. Kubal,Alec Ulasevich,Joan Cummings +7 more
TL;DR: The Team-Managed Home-Based Primary Care intervention improved most HR-QoL measures among terminally ill patients and satisfaction among non-terminally ill Patients and the higher costs of TM/HBPC should be weighed against these benefits.