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Tytuł pozycji:

High-value transitional care: translation of research into practice.

Tytuł :
High-value transitional care: translation of research into practice.
Autorzy :
Naylor MD; Marian S. Ware Professor in Gerontology, Director, NewCourtland Center for Transitions and Health, University of Pennsylvania School of Nursing, Philadelphia, PA, USA Associate Professor Associate Dean for Academic Programs, University of Pennsylvania School of Nursing, Philadelphia, PA, USA Nurse Director, Retiree Markets Head of Medicare Medical Management, Aetna, Inc., Princeton, NJ, USA Principal Biostatistician, Biomedical Statistical Consulting, Wynnewood, PA, USA Bendheim Professor and Professor of Health Care Management, University of Pennsylvania Wharton School, Philadelphia, PA, USA.
Bowles KH
McCauley KM
Maccoy MC
Maislin G
Pauly MV
Krakauer R
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Źródło :
Journal of evaluation in clinical practice [J Eval Clin Pract] 2013 Oct; Vol. 19 (5), pp. 727-33. Date of Electronic Publication: 2011 Mar 16.
Typ publikacji :
Journal Article; Research Support, Non-U.S. Gov't
Język :
English
Imprint Name(s) :
Original Publication: Oxford, England : Wiley-Blackwell, c1995-
MeSH Terms :
Chronic Disease*/epidemiology
Chronic Disease*/psychology
Chronic Disease*/therapy
Health Planning*/methods
Health Planning*/organization & administration
Health Services for the Aged/*organization & administration
Aged ; Episode of Care ; Evidence-Based Practice/methods ; Evidence-Based Practice/standards ; Health Care Costs ; Health Status Disparities ; Hospitalization/economics ; Hospitalization/statistics & numerical data ; Humans ; Models, Organizational ; Needs Assessment ; Quality of Life ; Translational Medical Research ; United States
Contributed Indexing :
Keywords: care coordination; chronic disease; evidence translation; evidence-based practice; geriatrics; transitional care
Entry Date(s) :
Date Created: 20110318 Date Completed: 20140724 Latest Revision: 20130930
Update Code :
20211105
DOI :
10.1111/j.1365-2753.2011.01659.x
PMID :
21410844
Czasopismo naukowe
Objective: To evaluate the impact of translating into a large US health plan, the Transitional Care Model (TCM), an evidence-based approach to address the needs of chronically ill older adults throughout acute episodes of illness.
Methods: A prospective, quasi-experimental study of 172 at-risk Aetna Medicare Advantage members in the mid-Atlantic region who received the TCM. A baseline and post-intervention (average of 2 months) comparison of enrolees' health status and quality of life was conducted. Member and physician satisfaction were assessed within 1 month post intervention. Health resource utilization and cost outcomes were compared to a matched control group of Aetna members at multiple intervals through 1 year.
Results: Improvements in all health status and quality of life measures were observed post- intervention compared to pre-intervention. Among 155 stringently matched pairs, a significant decrease in number of re-hospitalizations (45 vs. 60, P < 0.041) and total hospital days (252 vs. 351, P < 0.032) were observed at 3 months. Reductions in other utilization outcomes or time points were not statistically significant. The TCM was associated with a short-term decrease of $439 per member per month in total health care costs at 3 months and cumulative per member savings of $2170 at 1 year (P < 0.037).
Conclusions: Findings demonstrate that a rigorously tested model of transitional care for chronically ill older adults can be successfully translated into a real-world organization and achieve higher value.
(© 2011 John Wiley & Sons Ltd.)
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