A Retrospective Evaluation of the Impacts of a Multidisciplinary Care Model for Managing Patients with Advanced Illness on Acute Care Utilization and Quality of Care at End of Life.
J Palliat Med
; 25(12): 1835-1843, 2022 12.
Article
em En
| MEDLINE
| ID: mdl-36137010
ABSTRACT
Background:
A home-based goal-concordant care model targeting patients with advanced illnesses may reduce acute care utilization and improve quality outcomes at end of life.Aim:
Study aim was to determine impact of the Advanced Illness Management (AIM) program on end-of-life utilization and quality of care.Design:
A retrospective observational study design using propensity score fine stratum weighting methodologies was applied to decedent patients identified for AIM enrollment/eligibility in 2018 to 2019. Setting/Participants:
A total of 3859 decedents, 216 of whom were AIM enrollees, were identified from a metropolitan health system's electronic medical records (EMR) and met study eligibility criteria.Results:
Compared with usual care, AIM enrollees spent more days away from acute care in the last 30, 90, and 180 days of life. Furthermore, AIM enrollees were less likely to expire in an acute care hospital.Conclusions:
Enrollment in programs such as AIM should be considered for patients with advanced illnesses approaching end of life.Palavras-chave
Texto completo:
1
Coleções:
01-internacional
Contexto em Saúde:
1_ASSA2030
Base de dados:
MEDLINE
Assunto principal:
Projetos de Pesquisa
/
Estudos Interdisciplinares
Tipo de estudo:
Observational_studies
/
Prognostic_studies
Limite:
Humans
Idioma:
En
Revista:
J Palliat Med
Ano de publicação:
2022
Tipo de documento:
Article