Aging: Adding complexity, requiring skills

摘要: The role of systems in addressing the needs elderly and chronically ill populations remains a far from universal way thinking, much less practice, health care. Re-engineering current fragmented system to align providers, patients payment models facilitate proactive management conditions associated with advanced age and/or one or more chronic diseases - rather than responding costly consequences care optimized for acute will be major challenge all stakeholders. There are, however, promising success stories that are taking place United States today may provide model improvement. authors define issues faced by providers payers arise when providing those threaten overwhelm financial human resources exist serve these populations. They innovative ways thinking about care, examples unique have applied theory into practice. These successful leaders offer lessons proactively managing complex conditions, overcoming communication barriers using technology complement necessary touch is essential delivery.