A research agenda for care coordination for chronic conditions: aligning implementation, technology, and policy strategies

被引：25

作者：

Kilbourne, Amy M. ^{[1
,2
]}

Hynes, Denise ^{[3
,4
]}

O'Toole, Thomas ^{[5
,6
,7
]}

Atkins, David ^{[8
]}

机构：

[1] US Dept Vet Affairs, Qual Enhancement Res Initiat QUERI, Vet Heath Adm, Washington, DC 20420 USA

[2] Univ Michigan, Dept Psychiat, Med Sch, Ann Arbor, MI 48109 USA

[3] Hines VA Med Ctr, VA Informat Resource Ctr VIREC, Hines, IL 60141 USA

[4] Univ Illinois, Sch Publ Hlth, Chicago, IL 60607 USA

[5] Providence VA Med Ctr, Providence, RI 02908 USA

[6] Vet Hlth Adm, Providence, RI 02908 USA

[7] Brown Sch Med, Providence, RI 02912 USA

[8] US Dept Vet Affairs, Hlth Serv Res & Dev, Vet Hlth Adm, Washington, DC 20420 USA

来源：

TRANSLATIONAL BEHAVIORAL MEDICINE | 2018年 / 8卷 / 03期

关键词：

Health policy; Chronic illness; Care coordination; CENTERED MEDICAL HOME; MENTAL-HEALTH-SERVICES; COLLABORATIVE CARE; BEHAVIORAL HEALTH; HIGH-NEED; VETERANS; QUALITY; DEPRESSION; MANAGEMENT; MODEL;

D O I：

10.1093/tbm/ibx084

中图分类号：

R1 [预防医学、卫生学];

学科分类号：

1004 ; 120402 ;

摘要：

The U.S. healthcare system is changing, spurred on by increasing use of information technologies, changes in legislation and policy, and consumer demand for more convenient, timely, and patient-centered care. However, the current healthcare system is not prepared to maximize the benefits of these changes to optimize health outcomes for patients with chronic conditions, leaving many to fall through the cracks. New models of care coordination that align clinical activities are needed so that patients receive the right care at the right time. The goal of this commentary is to outline a research agenda for care coordination, drawing upon lessons learned from the VA healthcare system in which care coordination is enhanced through the application of health policy, population health/technology, and implementation science.

引用

页码：515 / 521

页数：7

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