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Updated: Jul 14, 2026

Digital Home-Monitoring of Patients after Kidney Transplantation: The MACCS Platform

Digital Home-Monitoring of Patients after Kidney Transplantation: The MACCS Platform

Published on: April 12, 2021

Best practice case management for improved medical adherence.

Betsy Vourlekis¹, Kathleen Ell

¹University of Maryland, Baltimore, MD, USA. vourleki@umbc.edu

Social Work in Health Care

|June 6, 2007

Summary

Improving treatment adherence is crucial for better health outcomes and lower costs, especially for underserved populations. Social work case management offers a multi-system approach to address adherence challenges effectively.

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Last Updated: Jul 14, 2026

Digital Home-Monitoring of Patients after Kidney Transplantation: The MACCS Platform

Digital Home-Monitoring of Patients after Kidney Transplantation: The MACCS Platform

Published on: April 12, 2021

Area of Science:

Health Services Research
Social Work Practice
Patient Adherence

Background:

Suboptimal treatment adherence negatively impacts patient health outcomes, increases morbidity and mortality, and elevates healthcare expenditures.
These challenges disproportionately affect low-income and minority patient groups.
Adherence is a complex issue influenced by patient, provider, and health system factors.

Purpose of the Study:

To present a generic "best practice" case management blueprint for improving treatment adherence.
To outline five key elements of this blueprint.
To illustrate the blueprint's application using a tested social work program.

Main Methods:

The study proposes a multi-system case management model rooted in social work principles.
It details five core components for a best practice adherence improvement strategy.
The SAFe (Social work Adherence Following cancer screens) program is used as a case example.

Main Results:

The proposed case management framework is designed to be broadly applicable across various medical settings.
The SAFe program demonstrates a tested model for enhancing adherence post-abnormal cancer screening.
The blueprint integrates theoretical evidence with practical application.

Conclusions:

Social work's multi-system case management model is well-suited to address the complexities of treatment adherence.
The presented blueprint offers a structured approach to improve adherence.
Effective case management can mitigate negative health consequences and reduce healthcare costs.