scholarly journals Lower health care cost by superior (integrated) care management? Evaluation of a population-based integrated care system in Germany—first results

2009 ◽  
Vol 9 (6) ◽  
Author(s):  
Achim Siegel ◽  
Ulrich Stößel ◽  
Helmut Hildebrandt ◽  
Karin Gaiser ◽  
Martin Härter ◽  
...  
Keyword(s):  
Health Care ◽  
Integrated Care ◽  
Care Management ◽  
Health Care Cost ◽  
Population Based ◽  
Management Evaluation ◽  
First Results ◽  
Lower Health ◽  
Care System

scholarly journals THE CONCEPT OF "LEAN" AND ITS USE IN HEALTH CARE MANAGEMENT

2020 ◽  
Vol 137 ◽  
pp. 48-54
Author(s):  
Elena AKSENOVA ◽  
◽  
Alexandr ZUDIN ◽  
Anastasiya METELSKAYA ◽  
◽  
...  
Keyword(s):  
Health Care ◽  
Health Care System ◽  
Lean Manufacturing ◽  
Care Management ◽  
Health Care Management ◽  
Medical Services ◽  
Care System

The article discusses some theoretical aspects of using the concept of "lean manufacturing" in the implementation of the practice of management of the health care system and medical services. The main problems of functioning of polyclinic institutions and tasks solved by implementing the "lean polyclinic" system are highlighted.

Improved Population-Based Clinical Outcomes of Patients with Atrial Fibrillation by Compliance with the Simple ABC (Atrial Fibrillation Better Care) Pathway for Integrated Care Management: A Nationwide Cohort Study

2019 ◽  
Vol 119 (10) ◽  
pp. 1695-1703 ◽  
Author(s):  
Minjae Yoon ◽  
Pil-Sung Yang ◽  
Eunsun Jang ◽  
Hee Tae Yu ◽  
Tae-Hoon Kim ◽  
...  
Keyword(s):  
Atrial Fibrillation ◽  
Integrated Care ◽  
Clinical Outcomes ◽  
Care Management ◽  
Care Pathway ◽  
Holistic Approach ◽  
Population Based ◽  
Composite Outcome ◽  
Care Approach ◽  
Multivariable Regression

Background An integrated care approach might be of benefit for clinical outcomes of patients with atrial fibrillation (AF). This study evaluated whether compliance with the Atrial fibrillation Better Care (ABC) pathway for integrated care management (“A” Avoid stroke; “B” Better symptom management; “C” Cardiovascular risk and Comorbidity optimization) would improve population-based clinical outcomes in a nationwide AF cohort. Methods and Results From the Korea National Health Insurance Service database, a total of 204,842 nonvalvular AF patients were enrolled between January 1, 2005 and December 31, 2015. Patients that fulfilled all criteria of the ABC pathway were defined as the “ABC” group, and those who did not were the “Non-ABC” group.Over a mean follow-up of 6.2 ± 3.5 years, the ABC pathway compliant group had lower rates of all-cause death (0.80 vs. 2.72 per 100 person-years, p < 0.001) and the composite outcome of “death, ischemic stroke, major bleeding, and myocardial infarction” (2.34 vs. 5.92 per 100 person-years, p < 0.001) compared with the Non-ABC compliant group. Adjusted Cox multivariable regression showed that the ABC group had a significantly lower risk of all-cause death (adjusted hazard ratio [HR] 0.82; 95% confidence interval [CI], 0.78–0.86) and the composite outcome (adjusted HR 0.86; 95% CI, 0.83–0.89). With the increasing numbers of ABC pathway criteria fulfilled, the risk of all-cause death and composite outcome were progressively lowered. Conclusion In the first study of a nationwide population cohort, we show that compliance with the simple ABC pathway is associated with improved clinically relevant outcomes of patients with AF. Given the high health care burden associated with AF, such a streamlined holistic approach to AF management should be implemented, to improve the care of such patients.

scholarly journals Use of the health care system by Ontario First Nations people with diabetes: a population-based study

CMAJ Open ◽  
2020 ◽  
Vol 8 (2) ◽  
pp. E313-E318
Author(s):  
Baiju R. Shah ◽  
Morgan Slater ◽  
Eliot Frymire ◽  
Kristen Jacklin ◽  
Roseanne Sutherland ◽  
...  
Keyword(s):  
Health Care ◽  
First Nations ◽  
Health Care System ◽  
Population Based ◽  
Population Based Study ◽  
Nations People ◽  
First Nations People ◽  
Care System
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