Improving outcomes and lowering costs by applying advanced models of in-home care

被引:14
作者
Boling, Peter A. [1 ]
Chandekar, Rashmi V. [2 ]
Hungate, Beth [3 ]
Purvis, Martha [3 ]
Selby-Penczak, Rachel [2 ]
Abbey, Linda J. [2 ]
机构
[1] Virginia Commonwealth Univ, Div Geriatr Med, Richmond, VA USA
[2] Virginia Commonwealth Univ, Richmond, VA USA
[3] Virginia Commonwealth Univ Hlth Syst, Richmond, VA USA
关键词
ALL-INCLUSIVE CARE; OLDER-ADULTS; HEALTH-CARE; DEATH; PROGRAM; PREFERENCE; ATTITUDES; VETERANS; PLACE;
D O I
10.3949/ccjm.80.e-s1.03
中图分类号
R5 [内科学];
学科分类号
1002 ; 100201 ;
摘要
With advances in monitoring and telemedicine, the complexity of care administered in the home to properly selected patients can approach that delivered in the hospital. The challenges include making sure that qualified personnel regularly visit the patient at home, both individually and in teams; information is accurately communicated among the caregiver teams across venues and over time; and patients understand the information communicated to them by providers. Despite these challenges, the benefits of treating chronically or terminally ill patients at home are significant. Among the most important are improved patient satisfaction and reduced cost. Numerous studies have shown that most patients prefer to spend their convalescence or their last days at home. The financial benefits of enabling patients to recover or to die at home are significant.
引用
收藏
页码:S7 / S14
页数:8
相关论文
共 37 条
[1]   Social Learning: Medical Student Perceptions of Geriatric House Calls [J].
Abbey, Linda ;
Willett, Rita ;
Selby-Penczak, Rachel ;
McKnight, Roberta .
GERONTOLOGY & GERIATRICS EDUCATION, 2010, 31 (02) :149-162
[2]  
[Anonymous], BAS STAT HOM CAR
[3]   Outpatient versus inpatient treatment for patients with acute pulmonary embolism: an international, open-label, randomised, non-inferiority trial [J].
Aujesky, Drahomir ;
Roy, Pierre-Marie ;
Verschuren, Franck ;
Righini, Marc ;
Osterwalder, Joseph ;
Egloff, Michael ;
Renaud, Bertrand ;
Verhamme, Peter ;
Stone, Roslyn A. ;
Legal, Catherine ;
Sanchez, Olivier ;
Pugh, Nathan A. ;
N'gako, Alfred ;
Cornuz, Jacques ;
Hugii, Olivier ;
Beer, Hans-Juerg ;
Perrier, Arnaud ;
Fine, Michael J. ;
Yealy, Donald M. .
LANCET, 2011, 378 (9785) :41-48
[4]   Veteran's Affairs Home Based Primary Care [J].
Beales, Julie Leftwich ;
Edes, Thomas .
CLINICS IN GERIATRIC MEDICINE, 2009, 25 (01) :149-+
[5]  
Boling PA., 2012, MED MANAGEMENT HOME, P1
[6]  
Boling PA., 2010, ROL HUM FACT HOM HLT, P275
[7]   HOMEBOUND AGED - MEDICALLY UNREACHED GROUP [J].
BRICKNER, PW ;
DUQUE, T ;
KAUFMAN, A ;
SARG, M ;
JAHRE, JA ;
MATURLO, S ;
JANESKI, JF .
ANNALS OF INTERNAL MEDICINE, 1975, 82 (01) :1-6
[8]   Increased satisfaction with care and lower costs: Results of a randomized trial of in-home palliative care [J].
Brumley, Richard ;
Enguidanos, Susan ;
Jamison, Paula ;
Seitz, Rae ;
Morgenstern, Nora ;
Saito, Sherry ;
McIlwane, Jan ;
Hillary, Kristine ;
Gonzalez, Jorge .
JOURNAL OF THE AMERICAN GERIATRICS SOCIETY, 2007, 55 (07) :993-1000
[9]   Oral Rivaroxaban for the Treatment of Symptomatic Pulmonary Embolism [J].
Buller, Harry R. ;
Prins, Martin H. ;
Lensing, Anthonie W. A. ;
Decousus, Herve ;
Jacobson, Barry F. ;
Minar, Erich ;
Chlumsky, Jaromir ;
Verhamme, Peter ;
Wells, Phil ;
Agnelli, Giancarlo ;
Cohen, Alexander ;
Berkowitz, Scott D. ;
Bounameaux, Henri ;
Davidson, Bruce L. ;
Misselwitz, Frank ;
Gallus, Alex S. ;
Raskob, Gary E. ;
Schellong, Sebastian ;
Segers, Annelise .
NEW ENGLAND JOURNAL OF MEDICINE, 2012, 366 (14) :1287-1297
[10]  
Centers for Medicare & Medicaid Services, 2008, FED REGISTER, V73, P32204