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Related Concept Videos

Methods Of Healthcare Delivery System01:26

Methods Of Healthcare Delivery System

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At the different levels of the healthcare system, we see varying methods of healthcare used. These methods include managed care systems, case management, and primary healthcare.
Managed Care System:
The managed care system is designed to control the cost while maintaining the quality of care. The patient's care from admission to discharge is planned by the primary care provider or the case manager, also known as the gatekeeper. In a managed care system, the number of care providers is...
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Continuing Care01:25

Continuing Care

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Continuing care describes the variety of health, personal, and social services provided over a prolonged period. The need for continuing care is increasing because people are living longer. Many people do not have families or others to care for them. Continuing care is mainly for patients who are disabled, functionally dependent, or suffering from a terminal disease. It is available within institutional settings or in homes. Examples include nursing centers or facilities, assisted living,...
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Rural health centers are specialized care facilities in remote locations with very few medical personnel. The primary care providers who run the centers are mostly Registered Nurse Practitioners. Here, emergency treatment is provided to critically ill or injured patients before they are transferred to the closest hospital. Fortunately, due to advancement in technology, many rural healthcare facilities and professionals have easy access to diagnostic and treatment...
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Issues And Trends In Healthcare Delivery System01:29

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The issues and trends in healthcare delivery are constantly changing. The COVID-19 pandemic is one recent issue that wreaked havoc on healthcare systems, causing a shortage of healthcare workers, high demand for medicines and supplies, and increased medical expenditure due to a lack of insurance. Other issues include rising healthcare costs and care fragmentation.
Cost Containment
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Documentation in long-term care facilities and home healthcare settings is crucial for ensuring continuous, coordinated, and comprehensive care for patients. Each setting has its specific documentation processes and tools:
Long-Term Care Facilities
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Health Information Technology and Healthcare Information System01:30

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Health Information Technology (HIT)
Health Information Technology, commonly called HIT, integrates advanced information systems and technology in healthcare settings. Its primary functions include:
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Inverse Probability of Treatment Weighting Propensity Score using the Military Health System Data Repository and National Death Index
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Medicare program expenditures associated with hospice use.

Diane E Campbell1, Joanne Lynn, Tom A Louis

  • 1Medical Outcomes Research and Evaluation Services, Thetford, Vermont, USA.

Annals of Internal Medicine
|February 19, 2004
PubMed
Summary
This summary is machine-generated.

Hospice care can reduce Medicare costs for younger cancer patients but increases spending for older patients and those without cancer. Further research is needed on quality and total expenditures.

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Area of Science:

  • Gerontology
  • Health Economics
  • Palliative Care

Background:

  • Hospice care is believed to reduce Medicare program costs.
  • Previous estimates are outdated and limited, primarily focusing on cancer patients.

Purpose of the Study:

  • To estimate the impact of hospice care on Medicare expenditures in the final year of life.
  • Analysis focused on cohorts defined by age and diagnosis between 1996 and 1999.

Main Methods:

  • Retrospective cohort study of deceased Medicare fee-for-service beneficiaries (n=245,326).
  • Compared Medicare expenditures in the last year of life between hospice enrollees and non-enrollees.
  • Adjusted for various factors including propensity to use hospice, demographics, and health status.

Main Results:

  • Overall expenditures were 4.0% higher for hospice enrollees.
  • Expenditures were 1% lower for hospice enrollees with cancer, with higher savings for aggressive cancers.
  • Expenditures were 11% higher for non-cancer hospice enrollees, particularly those with dementia.

Conclusions:

  • Hospice enrollment is associated with lower Medicare costs for younger cancer patients.
  • Hospice enrollment is linked to increased costs for non-cancer patients and those over 84.
  • Future research should examine hospice effects on quality of care and total expenditures.