作者: Deborah Peikes , Greg Peterson , Jennifer Schore , Carol M. Razafindrakoto , Randall S. Brown
DOI: 10.1377/HLTHAFF.2012.0393
关键词:
摘要: As policy makers seek to slow the growth in Medicare spending, they have appropriately focused attention on beneficiaries with multiple chronic conditions. Many care coordination and disease management programs designed improve beneficiaries’ reduce their need for hospitalizations been tested, but few successful. This study, however, found that four of eleven were part Coordinated Care Demonstration reduced by 8–33 percent among enrollees who had a high risk near-term hospitalization. The six approaches practiced coordinators at least three as follows: supplementing telephone calls patients frequent in-person meetings; occasionally meeting person providers; acting communications hub delivering evidence-based education patients; providing strong medication management; timely comprehensive transitional after hospitalizations. When car...