RESUMO
Policy Points Hospital-at-Home (HaH) is a home-based alternative for acute care that has expanded significantly under COVID-19 regulatory flexibilities. The post-pandemic policy agenda for HaH will require consideration of multistakeholder perspectives, including patient, caregiver, provider, clinical operations, technology, equity, legal, quality, and payer. Key policy challenges include reaching a consensus on program standards, clarifying caregivers' issues, creating sustainable reimbursement mechanisms, and mitigating potential equity concerns. Key policy prescriptions include creating a national surveillance system for quality and safety, clarifying legal standards for care in the home, and deploying payment reforms through value-based models.
Assuntos
COVID-19 , COVID-19/epidemiologia , Cuidadores , Hospitais , Humanos , Mecanismo de ReembolsoAssuntos
Biotecnologia , Atenção à Saúde , Medicina , Qualidade da Assistência à Saúde , Biotecnologia/legislação & jurisprudência , Biotecnologia/tendências , Governança Clínica/legislação & jurisprudência , Atenção à Saúde/legislação & jurisprudência , Atenção à Saúde/normas , Humanos , Legislação Médica/tendências , Medicina/normas , Medicina/tendências , Qualidade da Assistência à Saúde/legislação & jurisprudência , Qualidade da Assistência à Saúde/normas , Responsabilidade SocialRESUMO
The COVID-19 pandemic created significant challenges for academic health systems (AHSs) across their tripartite mission of providing clinical care, conducting research, and educating learners. Despite these challenges, AHSs played an invaluable role in responding to the pandemic. Clinicians worked tirelessly to care for patients, and institutions quickly reoriented their care delivery systems. Furthermore, AHSs played an important role in advancing science, launching studies and clinical trials to examine new vaccines and treatments for COVID-19. However, there is room for improvement; AHSs can use lessons learned from the COVID-19 pandemic to reshape their operations for the future. To prepare for the next pandemic, AHSs must modernize, adapt, and transform their clinical operations, research infrastructure, and educational programs to include public health and to build surveillance capacity for detecting, monitoring, and managing emerging outbreaks. In this Invited Commentary, the authors describe the opportunities AHSs have to build on their experiences during the COVID-19 pandemic and the ways they can take advantage of their unique strengths in each of their 3 mission areas. Within clinical care, AHSs can reach patients outside traditional clinical settings, build national and regional networks, advance data-driven insights, engage with the community, and support and protect the workforce. Within research, they can leverage data science and artificial intelligence, perform pandemic forecasting, leverage the social and behavioral sciences, conduct clinical trials, and build a research and development preparedness and operational plan. Within education, AHSs can promote remote learning, make interprofessional learning the norm, and build a system of continuing education.
Assuntos
COVID-19 , Pandemias , Inteligência Artificial , COVID-19/epidemiologia , COVID-19/prevenção & controle , Humanos , Pandemias/prevenção & controle , Saúde Pública , Recursos HumanosAssuntos
Betacoronavirus , Controle de Doenças Transmissíveis/organização & administração , Infecções por Coronavirus/epidemiologia , Financiamento da Assistência à Saúde , Invenções/economia , Pneumonia Viral/epidemiologia , COVID-19 , Infecções por Coronavirus/diagnóstico , Infecções por Coronavirus/terapia , Humanos , Pandemias , Pneumonia Viral/diagnóstico , Pneumonia Viral/terapia , SARS-CoV-2RESUMO
With continued advances in science and technology, there is great potential to extend our healthspan as we age.
Assuntos
Longevidade , HumanosAssuntos
Tecnologia Biomédica/tendências , Determinação da Pressão Arterial/tendências , Atenção à Saúde/tendências , Hipertensão/epidemiologia , Hipertensão/fisiopatologia , Ciência da Implementação , Determinação da Pressão Arterial/métodos , Feminino , Previsões , Humanos , Masculino , Avaliação das Necessidades , Prevalência , Saúde Pública , Medição de RiscoRESUMO
Scientific and technological breakthroughs are transforming the future of medicine and health, but they inevitably carry risks and have societal implications that need to be addressed proactively.