Comunidad en enfermedades crónicas
En esta sección podrá consultar los últimos contenidos publicados por las distintas comunidades de práctica integradas en OPIMEC.
- Effect of care management program structure on implementation: a normalization process theory analysis. Publicado el 12/09/2016 por Diana Gosálvez Prados
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Care management in primary care can be effective in helping patients with chronic disease improve their health status, however, primary care practices are often challenged with implementation. Further, there are different ways to structure care management that may make implementation more or less successful. Normalization process theory (NPT) provides a means of understanding how a new complex intervention can become routine (normalized) in practice. In this study, we used NPT to understand how care management ...
care management, chronic disease, normalization process theory, primary care - Comparative Effectiveness of Risk-Stratified Care Management in Reducing Readmissions in Medicaid Adults With Chronic Disease. Publicado el 22/04/2016 por Diana Gosálvez Prados
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Hospitalized adult Medicaid recipients with chronic disease are at risk for rehospitalization within 90 days of discharge, but most research has focused on the Medicare population. The purpose of this study is to examine the impact of population-based care management intensity on inpatient readmissions in Medicaid adults with pre-existing chronic disease. Retrospective analyses of 2,868 index hospital admissions from 2012 New York State Medicaid Data Warehouse claims compared 90-day post-discharge utilization in populations with ...
adults, care management, chronic disease, effectiveness, medicaid, risk-stratified - Targeting patients for multimorbid care management interventions: the case for equity in high-risk patient identification Publicado el 15/10/2013 por Diana Gosálvez Prados
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Targeting patients for multimorbid care management interventions requires accurate and comprehensive assessment of patients’ need in order to direct resources to those who need and can benefit from them the most.
care management, equity, high-risk patients, multimorbidity - Identification of Patients Likely to Benefit From Care Management Programs Publicado el 23/04/2013 por Vivian Benítez Hidalgo
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Care management programs are seen as an effective approach to meet the challenge of increasing numbers of patients with complex care needs. Targeting these programs to patients with multiple chronic conditions and at high risk for cost-intensive care offers the greatest opportunities for improving quality of care and reducing healthcare costs. Because care management programs require allocation of restricted human and financial resources, the targeted population should be not only cost-intensive but also “care sensitive ...
care management, costs, healthcare, riesgos - Primary Care Physicians’ Experiences With Case Finding for Practice-Based Care Management Publicado el 23/04/2013 por Juan Antonio Castillo Guijarro
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For decades, numerous care management (CM) programs have evolved in the United States and elsewhere aimed at improving quality of care and/or reducing healthcare costs. Despite these CM programs’ diversity in terms of intervention targets and designs, the identification of patients most likely to benefit—commonly called case finding—is essential for both their effectiveness and cost efficiency.1,2 Therefore, particular attention has been focused on the development and evaluation of practical tools ...
care management, costs, efectividad clinica, effeciency, efficient - Multiple morbidity combinations impact on medical expenditures among older adults Publicado el 25/04/2011 por Diana Gosálvez Prados
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This study aims to explore the medical needs of patients who have different combinations of multiple chronic diseases in order to improve care strategy for chronic patients. This study was based on a national probability proportional to size (PPS) sampling to older adults over 50 years old. We collaborated the files of the 2000-2001 health insurance claims and selected 8 types of common chronic diseases among seniors, for the discussion of multiple combinations of chronic ...
care management, comorbidity, costs, mortality, multimorbidity, prevalence - Equipo de atención para ayudar a múltiples condiciones crónicas Publicado el 11/01/2011 por Diana Gosálvez Prados
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Según un nuevo estudio los pacientes con múltiples enfermedades crónicas como la diabetes mellitus y enfermedad cardíaca tienen un mayor riesgo de depresión que pueden hacer que los medicamentos ineficaces. El investigador principal, el Dr. Wayne J. Katon y sus colegas de la Universidad de Washington en el estudio encontró que los pacientes que recibieron atención de las enfermeras que trabajaban con los pacientes y los médicos para manejar el cuidado de la depresión y ...
care management, diabetes, heart disease, multiple chronic conditions - Care Management of Patients with Complex Health Care Needs Publicado el 26/12/2009 por Diana Gosálvez Prados
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Patients with complex health care needs represent a small but growing sector of the U.S. population. Most patients in this high-cost group are Medicare beneficiaries with multiple chronic conditions, frequent hospitalizations and limitations on their ability to perform basic daily functions because of physical, mental and psychosocial challenges.
care management, care needs, complex health, patients - The Care Management Plus Publicado el 11/01/2009 por Jessie Venegas
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El Programa Care Management Plus combina los servicios de coordinación de cuidados de un Gestor de Casos con el rastreo electrónico robusto y un sistema de recordatorio para proporcional cuidados médicos integrales a pacientes mayores con múltiples enfermedades crónicas en Centros de Atención Primaria. El gestor de casos ayuda a los pacientes y sus cuidadores a manejar un amplio espectro de temas médicos y de calidad de vida que pueden incluir la coordinación con médicos ...
care management, chronic disease, complex medical conditions, education, medications, patients, primary care
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