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Paying the piper: the crisis in chronic care.
Home Health Care Serv Q ; 18(3): 1-21, 2000.
Article em En | MEDLINE | ID: mdl-11211318
ABSTRACT
The current article reviews the broad outlines of the crisis in chronic care with emphasis on Southern California, a region where the powerful forces buffeting health and long term care have reached gale force intensity. The article argues that a partial solution to the crisis lies in flexible local partnerships among patients, families, providers, and payers focused on helping the chronically ill cope with the tasks of daily life. Such partnerships would emphasize supportive care, prevention, family preservation, assistive devices, and family income supplementation through facilitation of productive work, aspects of chronic care neglected by current financing and service delivery practices. A case example, the Southern California-based Partners in Care Foundation's Family Care Network, illustrates these essential components of a revitalized, responsive chronic care system.
Assuntos
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Coleções: 01-internacional Base de dados: MEDLINE Assunto principal: Doença Crônica / Atenção à Saúde Aspecto: Determinantes_sociais_saude Limite: Humans País/Região como assunto: America do norte Idioma: En Revista: Home Health Care Serv Q Ano de publicação: 2000 Tipo de documento: Article
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Coleções: 01-internacional Base de dados: MEDLINE Assunto principal: Doença Crônica / Atenção à Saúde Aspecto: Determinantes_sociais_saude Limite: Humans País/Região como assunto: America do norte Idioma: En Revista: Home Health Care Serv Q Ano de publicação: 2000 Tipo de documento: Article