scholarly journals A proposal for managed care payment options for patients with chronic conditions

1996 ◽  
Vol 19 (1) ◽  
pp. 27 ◽  
Author(s):  
Terri Jackson
Keyword(s):  
Health Care ◽  
Managed Care ◽  
Ambulatory Care ◽  
Patient Group ◽  
Chronic Conditions ◽  
Patient Autonomy ◽  
Payment System ◽  
Patterns Of Care ◽  
Episode Of Care ◽  
Health Care Efficiency

This paper proposes an episode of care payment system for patients with chronicillnesses, extending earlier published work on this model of ambulatory care (Duckett& Jackson 1993). The payment system relies on annual voluntary enrolment andsome marginal broadening of Medicare coverage in exchange for patients? willingnessto participate in an ambulatory managed care arrangement. In the context ofAustralian health ministers? enthusiasm for managed care, the proposal embodiesan intermediate policy approach which supports greater health care efficiency whileminimising the prospect for reductions in patient autonomy or serious distortionsin patterns of care. The policy is not designed to be applied population-wide, butto address the issues involved with a resource-intensive patient group, those requiringongoing management of chronic conditions.

Ambulatory care sensitive chronic conditions: what can we learn from patients about the role of primary health care in preventing admissions?

2018 ◽  
Vol 24 (4) ◽  
pp. 304 ◽  
Author(s):  
Jo M. Longman ◽  
Elizabeth Rix ◽  
Jennifer J. Johnston ◽  
Megan E. Passey
Keyword(s):  
Health Care ◽  
Primary Health Care ◽  
Ambulatory Care ◽  
Chronic Conditions ◽  
Hospital Admissions ◽  
Telephone Interviews ◽  
Primary Health ◽  
Comprehensive Primary Health Care ◽  
Modifiable Factors ◽  
Ambulatory Care Sensitive

Developing and targeting interventions to reduce hospital admissions for ambulatory care sensitive (ACS) chronic conditions for older people is a key focus for improvement of the health system. To do this, an understanding of any modifiable factors that may contribute to such admissions is needed. To date, the literature on ACS admissions has rarely included the patient perspective. This qualitative study involved one-to-one telephone interviews with 24 patients aged ≥45 years who had had an unplanned admission for an ACS chronic condition to one of two participating regional hospitals between February and August 2015. Data were transcribed and analysed thematically. Most participants did not perceive their admission to be preventable, yet they described a series of interlinking factors, which may have contributed to their admission and which may offer potential points of leverage. Key interlinked themes interpreted were: ‘support deficits’, ‘non-adherence to treatment’ (including medication), ‘mental health’ and ‘lack of awareness or understanding of condition’. Improving system-, clinician- and patient-level factors within a framework of appropriately resourced and supported comprehensive primary health care that is accessible, affordable, holistic, practical and evidence-based may contribute to improving patients’ quality of life and to delaying or preventing hospital admission.

scholarly journals Extreme Consumers of Health Care: Patterns of Care Utilization in Patients with Multiple Chronic Conditions Admitted to a Novel Integrated Clinic

2019 ◽  
Vol Volume 12 ◽  
pp. 1075-1083
Author(s):  
Muhammad Rafiq ◽  
George Keel ◽  
Pamela Mazzocato ◽  
Jonas Spaak ◽  
Christian Guttmann ◽  
...  
Keyword(s):  
Health Care ◽  
Chronic Conditions ◽  
Patterns Of Care ◽  
Care Utilization ◽  
Multiple Chronic Conditions ◽  
Care Patterns

Aging and Autism

2012 ◽  
Vol 17 (2) ◽  
pp. 69-75 ◽  
Author(s):  
Pamela A. Smith
Keyword(s):  
Health Care ◽  
Autism Spectrum Disorders ◽  
Patient Group ◽  
Older Patients ◽  
Geriatric Patients ◽  
Recent Literature ◽  
Communication Disorders ◽  
Autism Spectrum ◽  
Need For Support ◽  
Spectrum Disorders

In this article, I will review the available recent literature about the aging population with autism, a patient group that researchers know little about and a group that is experiencing a growing need for support from communication disorders professionals. Speech-language pathologists working with geriatric patients should become familiar with this issue, as the numbers of older patients with autism spectrum disorders is likely to increase. Our profession and our health care system must prepare to meet the challenge these patients and residents will present as they age.

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