Implementation of Care Management: An Analysis of Recent AHRQ Research.
Med Care Res Rev
; 75(1): 46-65, 2018 02.
Article
em En
| MEDLINE
| ID: mdl-27789628
Care management (CM) is a promising team-based, patient-centered approach "designed to assist patients and their support systems in managing medical conditions more effectively." As little is known about its implementation, this article describes CM implementation and associated lessons from 12 Agency for Healthcare Research and Quality-sponsored projects. Two rounds of data collection resulted in project-specific narratives that were analyzed using an iterative approach analogous to framework analysis. Informants also participated as coauthors. Variation emerged across practices and over time regarding CM services provided, personnel delivering these services, target populations, and setting(s). Successful implementation was characterized by resource availability (both monetary and nonmonetary), identifying as well as training employees with the right technical expertise and interpersonal skills, and embedding CM within practices. Our findings facilitate future context-specific implementation of CM within medical homes. They also inform the development of medical home recognition programs that anticipate and allow for contextual variation.
Palavras-chave
Texto completo:
1
Coleções:
01-internacional
Base de dados:
MEDLINE
Assunto principal:
Atenção Primária à Saúde
/
United States Agency for Healthcare Research and Quality
/
Assistência Centrada no Paciente
/
Continuidade da Assistência ao Paciente
/
Implementação de Plano de Saúde
Tipo de estudo:
Prognostic_studies
/
Sysrev_observational_studies
Limite:
Humans
País/Região como assunto:
America do norte
Idioma:
En
Revista:
Med Care Res Rev
Assunto da revista:
PESQUISA EM SERVICOS DE SAUDE
Ano de publicação:
2018
Tipo de documento:
Article
País de afiliação:
Estados Unidos