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The PhoenixCare Program.

Carol A Lockhart1, Barbara E Volk-Craft, Gillian Hamilton

  • 1C. Lockhart Associates, Tempe, Arizona 85283-2366, USA. cla@lockhartassociates.com

Journal of Palliative Medicine
|January 22, 2004
PubMed
Summary
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PhoenixCare offered palliative and coordinated care to chronically ill patients before hospice eligibility. This patient-centered model improved quality of life and was well-received by patients and managed care plans.

Area of Science:

  • Palliative Care
  • Health Services Research
  • Managed Care

Background:

  • A need existed for palliative and supportive services for chronically ill patients not yet eligible for hospice care.
  • The Robert Wood Johnson (RWJ) Promoting Excellence in End-Of-Life Care Project funded a demonstration grant for Hospice of the Valley (HOV).

Purpose of the Study:

  • To demonstrate the feasibility and impact of the PhoenixCare model, offering palliative and coordinated care to seriously chronically ill individuals in a managed care setting.
  • To assess if this model could improve patient quality of life without increasing costs compared to standard managed care.

Main Methods:

  • HOV implemented the PhoenixCare project, a model emphasizing patient/family self-empowerment and prevention.
  • Services included case management for seriously chronically ill patients undergoing active disease treatment within a managed care environment.

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Main Results:

  • The PhoenixCare model was most effective for patients actively involved in managing their care.
  • Referrals primarily came from managed care case managers and hospital discharge planners (83%), with physician referrals below 5%.

Conclusions:

  • The PhoenixCare model demonstrated the value of expanding palliative and coordinated care to seriously chronically ill patients.
  • The model's structure, content, and acceptability suggest its applicability to other healthcare settings.