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Characteristics of Future Models of Integrated Outpatient Care

Replacement of fee-for-service with capitation arrangements, forces physicians and institutions to minimize health care costs, while maintaining high-quality care. In this report we described how patients and their families (or caregivers) can work with members of the medical care team to achieve th...

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Autores principales: Leviton, Alan, Oppenheimer, Julia, Chiujdea, Madeline, Antonetty, Annalee, Ojo, Oluwafemi William, Garcia, Stephanie, Weas, Sarah, Fleegler, Eric, Chan, Eugenia, Loddenkemper, Tobias
Formato: Online Artículo Texto
Lenguaje:English
Publicado: MDPI 2019
Materias:
Acceso en línea:https://www.ncbi.nlm.nih.gov/pmc/articles/PMC6627383/
https://www.ncbi.nlm.nih.gov/pubmed/31035586
http://dx.doi.org/10.3390/healthcare7020065
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author Leviton, Alan
Oppenheimer, Julia
Chiujdea, Madeline
Antonetty, Annalee
Ojo, Oluwafemi William
Garcia, Stephanie
Weas, Sarah
Fleegler, Eric
Chan, Eugenia
Loddenkemper, Tobias
author_facet Leviton, Alan
Oppenheimer, Julia
Chiujdea, Madeline
Antonetty, Annalee
Ojo, Oluwafemi William
Garcia, Stephanie
Weas, Sarah
Fleegler, Eric
Chan, Eugenia
Loddenkemper, Tobias
author_sort Leviton, Alan
collection PubMed
description Replacement of fee-for-service with capitation arrangements, forces physicians and institutions to minimize health care costs, while maintaining high-quality care. In this report we described how patients and their families (or caregivers) can work with members of the medical care team to achieve these twin goals of maintaining—and perhaps improving—high-quality care and minimizing costs. We described how increased self-management enables patients and their families/caregivers to provide electronic patient-reported outcomes (i.e., symptoms, events) (ePROs), as frequently as the patient or the medical care team consider appropriate. These capabilities also allow ongoing assessments of physiological measurements/phenomena (mHealth). Remote surveillance of these communications allows longer intervals between (fewer) patient visits to the medical-care team, when this is appropriate, or earlier interventions, when it is appropriate. Systems are now available that alert medical care providers to situations when interventions might be needed.
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spelling pubmed-66273832019-07-23 Characteristics of Future Models of Integrated Outpatient Care Leviton, Alan Oppenheimer, Julia Chiujdea, Madeline Antonetty, Annalee Ojo, Oluwafemi William Garcia, Stephanie Weas, Sarah Fleegler, Eric Chan, Eugenia Loddenkemper, Tobias Healthcare (Basel) Review Replacement of fee-for-service with capitation arrangements, forces physicians and institutions to minimize health care costs, while maintaining high-quality care. In this report we described how patients and their families (or caregivers) can work with members of the medical care team to achieve these twin goals of maintaining—and perhaps improving—high-quality care and minimizing costs. We described how increased self-management enables patients and their families/caregivers to provide electronic patient-reported outcomes (i.e., symptoms, events) (ePROs), as frequently as the patient or the medical care team consider appropriate. These capabilities also allow ongoing assessments of physiological measurements/phenomena (mHealth). Remote surveillance of these communications allows longer intervals between (fewer) patient visits to the medical-care team, when this is appropriate, or earlier interventions, when it is appropriate. Systems are now available that alert medical care providers to situations when interventions might be needed. MDPI 2019-04-27 /pmc/articles/PMC6627383/ /pubmed/31035586 http://dx.doi.org/10.3390/healthcare7020065 Text en © 2019 by the authors. Licensee MDPI, Basel, Switzerland. This article is an open access article distributed under the terms and conditions of the Creative Commons Attribution (CC BY) license (http://creativecommons.org/licenses/by/4.0/).
spellingShingle Review
Leviton, Alan
Oppenheimer, Julia
Chiujdea, Madeline
Antonetty, Annalee
Ojo, Oluwafemi William
Garcia, Stephanie
Weas, Sarah
Fleegler, Eric
Chan, Eugenia
Loddenkemper, Tobias
Characteristics of Future Models of Integrated Outpatient Care
title Characteristics of Future Models of Integrated Outpatient Care
title_full Characteristics of Future Models of Integrated Outpatient Care
title_fullStr Characteristics of Future Models of Integrated Outpatient Care
title_full_unstemmed Characteristics of Future Models of Integrated Outpatient Care
title_short Characteristics of Future Models of Integrated Outpatient Care
title_sort characteristics of future models of integrated outpatient care
topic Review
url https://www.ncbi.nlm.nih.gov/pmc/articles/PMC6627383/
https://www.ncbi.nlm.nih.gov/pubmed/31035586
http://dx.doi.org/10.3390/healthcare7020065
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