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Related Experiment Videos

Integrating case management and palliative care.

Diane E Meier1, William Thar, Ashby Jordan

  • 1Hertzberg Palliative Care Institute; Department of Geriatrics and Adult Development, and Mount Sinai School of Medicine, New York, New York 10029, USA. diane.meier@mssm.edu

Journal of Palliative Medicine
|March 6, 2004
PubMed
Summary
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Integrating palliative care into case management improves care for seriously ill patients at home. This strategy enhances patient well-being and optimizes healthcare resource use.

Area of Science:

  • Health Services Research
  • Palliative Care
  • Geriatric Medicine

Background:

  • Most seriously ill Americans receive care at home, supported by physicians and family caregivers.
  • Insurers increasingly use case management to reduce costs and improve care quality for high-risk patients.
  • Traditional case management often excludes formal palliative care assessment and interventions.

Purpose of the Study:

  • To test the integration of formal palliative care assessment and interventions into a case management program for seriously ill patients.
  • To improve identification and management of complex patient needs, enhance communication, and support decision-making.
  • To ensure quality home-based care and promote efficient healthcare resource utilization.

Main Methods:

  • A partnership between academia, a care management organization, and a health plan.

Related Experiment Videos

  • Randomized controlled trial assigning care management nurses to usual care or palliative care intervention groups.
  • Intervention nurses received specialized training in palliative care assessment, interventions, and physician communication strategies.

    • Main Results:

    • Preliminary results suggest the integrated approach is logical, feasible, and effective.
    • The program demonstrated an improved standard of patient care.
    • Participating organizations have chosen to sustain the enhanced model.

    Conclusions:

    • Integrating palliative care into case management is a viable and effective strategy for community-dwelling seriously ill patients.
    • This integrated model enhances the quality of care and patient support.
    • The approach promotes efficient use of healthcare resources while maintaining physician-patient continuity.