Innovative healthcare for chronically ill older persons: results of a national survey
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Published on: July 27, 2018
C Boult1, R L Kane, J T Pacala
1Department of Family Practice and Community Health, University of Minnesota Medical School, USA. boult001@tc.umn.edu
Objective:
To describe the origin, scope, operations, funding, and outcomes of innovative healthcare programs for chronically ill older persons.
Study Design:
Cross-sectional survey.
Methods:
A national expert panel nominated chronic illness programs they believed to be innovative and field tested. The directors of the 31 eligible programs provided descriptive information in 60-minute semistructured telephone interviews.
Results:
The innovative programs we surveyed tended to target their services to high-risk patients, use teams of providers to deliver care, designate providers to coordinate multiple components of complex care plans, and shift care from higher- to lower-cost environments and/or redesign the delivery of primary care.
Conclusions:
Recent innovations in healthcare programs hold considerable promise for improving the outcomes of chronic care, but most have yet to be rigorously evaluated.
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