By Cheryl Schraeder, Paul S. Shelton
Breakthroughs in clinical technology and know-how, mixed with shifts in way of life and demographics, have ended in a quick upward push within the variety of members residing with a number of power health problems. Comprehensive Care Coordination for Chronically in poor health Adults offers thorough demographics in this becoming quarter, describes types for switch, studies present literature and examines quite a few outcomes.
Comprehensive Care Coordination for Chronically unwell Adults is split into parts. the 1st offers thorough dialogue and heritage on theoretical options of care, together with an entire profile of present demographics and chapters on present types of care, intervention elements, evaluate tools, wellbeing and fitness info expertise, financing, and teaching an interdisciplinary team. the second one a part of the booklet makes use of a number of case experiences from numerous settings to demonstrate profitable entire care coordination in perform. Nurse, health professional and social paintings leaders in group healthiness, basic care, schooling and study, and well-being coverage makers will locate this booklet crucial between assets to enhance deal with the chronically ill.
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Extra resources for Comprehensive Care Coordination for Chronically Ill Adults
Our current health care system was not designed to provide coordinated care for these individuals who are primarily insured by the Medicare and Medicaid programs. As a result, these individuals are not receiving optimum quality of care for many of their chronic illnesses. As the “baby boom generation” gets ready to become Medicare beneficiaries, more providers with specialized training, resources, and new approaches to delivering care for chronic illnesses will be needed to meet their health care needs.
Frequent users of the ED tend to have chronic health problems, and while most ED patients identify a place where they usually receive care, few have had contact with their physicians prior to seeking ED care (Milbrett & Halm 2009; Weber et al. 2008). Increased use of the ED is associated with a lack of access to primary care services (Rust et al. 2008), and a majority of ED visits take place on the weekends or on a weekday after physician office hours (Pitts et al. 2010), or by patients who were discharged from the hospital within the last seven days (Burt et al.
2007). Kroll and colleagues (2006) identified multiple barriers affecting access to primary preventative services for individuals with a chronic disability. They divided these barriers into two primary domains: structural-environmental (conditions in the physical and social environment impacting service delivery), and process (barriers experienced as services were provided to patients). Examples of structural-environmental barriers include: lack of transportation services to appointments, lack of disabled parking spaces and wheelchair ramps into medical buildings, lack of adaptable equipment such as accessible bathrooms, special weight scales for individuals in wheelchairs, and adjustable exam tables.