chronic care;
care management;
consumer directed care;
coordinating home- and community-based services;
D O I:
10.1046/j.1365-2389.2003.51257.x
中图分类号:
R592 [老年病学];
C [社会科学总论];
学科分类号:
03 ;
0303 ;
100203 ;
摘要:
OBJECTIVES: To describe a demonstration program that uses master's-level care managers (care advocates) to link Medicare managed care enrollees to home- and community-based services, testing whether referrals to noninsured services can reduce service usage and increase member satisfaction and retention. DESIGN: Using an algorithm designed to target frail, high-cost users of Medicare insured healthcare services, the program partners PacifiCare's Secure Horizons and four of its medical groups with two social service organizations. SETTING: Three care advocates located in two community-based social services agencies using telephone interviews to interact with targeted elders living in the community. PARTICIPANTS: Three hundred ninety PacifiCare members aged 69 to 96 receiving care from four PacifiCare-contracted medical groups. INTERVENTION: The 12-month intervention provides telephone assessment, links to eight types of home- and community-based services, and monthly follow-up contacts. MEASUREMENTS: Sociodemographic characteristics of intervention participants, types of service referrals, and acceptance rates. RESULTS: Lessons learned included the importance of building a shared vision among partners, building on existing relationships between members and providers, and building trust without face-to-face interactions. CONCLUSION: The program builds on current insured case management services and offers a practical bridge to community-based services.
机构:
Univ Minnesota, Sch Med, Dept Family Practice & Community Med, Minneapolis, MN 55455 USAUniv Minnesota, Sch Med, Dept Family Practice & Community Med, Minneapolis, MN 55455 USA
Boult, C
Boult, L
论文数: 0引用数: 0
h-index: 0
机构:
Univ Minnesota, Sch Med, Dept Family Practice & Community Med, Minneapolis, MN 55455 USAUniv Minnesota, Sch Med, Dept Family Practice & Community Med, Minneapolis, MN 55455 USA
Boult, L
Pacala, JT
论文数: 0引用数: 0
h-index: 0
机构:
Univ Minnesota, Sch Med, Dept Family Practice & Community Med, Minneapolis, MN 55455 USAUniv Minnesota, Sch Med, Dept Family Practice & Community Med, Minneapolis, MN 55455 USA
机构:
Univ Minnesota, Sch Med, Dept Family Practice & Community Med, Minneapolis, MN 55455 USAUniv Minnesota, Sch Med, Dept Family Practice & Community Med, Minneapolis, MN 55455 USA
Boult, C
Boult, L
论文数: 0引用数: 0
h-index: 0
机构:
Univ Minnesota, Sch Med, Dept Family Practice & Community Med, Minneapolis, MN 55455 USAUniv Minnesota, Sch Med, Dept Family Practice & Community Med, Minneapolis, MN 55455 USA
Boult, L
Pacala, JT
论文数: 0引用数: 0
h-index: 0
机构:
Univ Minnesota, Sch Med, Dept Family Practice & Community Med, Minneapolis, MN 55455 USAUniv Minnesota, Sch Med, Dept Family Practice & Community Med, Minneapolis, MN 55455 USA