Navigation Links
Guided Care participants rate quality of health care high

Chronically ill older adults who are closely supported by a nurse-physician primary care team are twice as likely to rate their health care as high-quality than those who receive usual care, according to a study by researchers at the Johns Hopkins Bloomberg School of Public Health. The research, published online in the latest edition of the Journal of General Internal Medicine, found that after 18 months of a randomized controlled trial, Guided Care recipients rated their primary care significantly higher than usual care recipients with regard to coordination with specialists, support for self-management, and help received with setting goals, making decisions and solving health-related problems. Guided Care patients were also 70 percent more likely to rate the time they had to wait for an appointment when sick as "excellent" or "good", and 50 percent more likely to rate the ability to get phone advice as "excellent" or "good."

"These findings show that Guided Care can improve many of the important dimensions of care quality," said Cynthia M. Boyd, MD, MPH, lead author of the study and assistant professor in the Department of Medicine at the Johns Hopkins University School of Medicine and the Department of Health Policy and Management at the Bloomberg School of Public Health. "Improving chronic care is not just about reducing cost, but it also includes improving the quality of the care that patients receive."

Previously published data suggested that, compared to usual care patients, Guided Care patients tended to spend less time in hospitals and skilled nursing facilities and had fewer emergency room visits and home health episodes, producing an annual net savings for health care insurers (after accounting for the costs of Guided Care) of $1,365 (11 percent) per patient, or $75,000 per nurse. Other studies have shown that Guided Care reduces family caregiver strain and improves physicians' satisfaction with chronic care.

Guided Care is a model of proactive, comprehensive health care provided by physician-nurse teams for patients with several chronic health conditions. It is a type of "medical home" for this rapidly growing population. This model is designed to improve complex patients' quality of life and quality of care, while improving the efficiency of their treatment. The care teams include a registered nurse, two to five primary care physicians, and other members of the office staff who work together for the benefit of each patient. Following a comprehensive assessment and planning process, the Guided Care nurse educates and empowers patients and families, monitors their conditions monthly, and coordinates the efforts of health care professionals, hospitals and community agencies to be sure that no important health-related need slips through the cracks.


Contact: Tim Parsons
Johns Hopkins University Bloomberg School of Public Health

Related medicine news :

1. EPI Says, California Health Care Reform Bill is Misguided
2. Guided radiation therapy for prostate cancer prevents damage to surrounding organs
3. Ultrasound-guided injections help ease chronic Achilles tendon pain
4. Varian Image-Guided Treatment Machines Selected for Major New Hospital on South Coast of England
5. St. Davids Medical Center First in Texas to Implement Visually Guided Catheter Ablation for Atrial Fibrillation
6. CNS Response, Inc.: Poster Session on Referenced-EEG Guided Medication to Be Presented at the American Psychiatric Association 161st Annual Meeting
7. A guided broncoscope achieves biopsy of 75 percent pulmonary nodules without puncture or surgery
8. Sweden to Receive Scandinavia's First TomoTherapy System : Lund University Hospital to Offer Swedish Cancer Patients the Most Advanced Image-Guided Radiation Therapy Treatments
9. First Major Medical Meeting Convening for MRI-guided Focused Ultrasound to Treat Cancer, Stroke, Fibroids, Other Conditions
10. New model developed to estimate radiation skin doses during CT-guided interventional procedures
11. High Blood-Pressure Patients Can See Improvement Through Guided Breathing
Post Your Comments:
(Date:12/1/2015)... ... December 01, 2015 , ... ... Enterprise Authorized Technology Provider (ATP) status from Cisco. This designation recognizes Tympani as ... Cisco Unified Contact Center solutions targeted to the high-end enterprise contact center marketplace. ...
(Date:11/30/2015)... ... ... Trevor and Taylor Crabb have unveiled an exciting new campaign to unite ... States. This hybrid crowdfunding campaign is designed to provide the Crabb brothers’ ... offering corporate sponsors with some great marketing deliverables with the brothers for the 2016 ...
(Date:11/30/2015)... ... ... The National Association of Professional Women (NAPW) honors Dawn ... She is recognized with this prestigious distinction for leadership in estate sales and moving. ... 850,000 members and over 200 operating Local Chapters. , “I’m pleased to welcome Dawn ...
(Date:11/30/2015)... ... December 01, 2015 , ... ... to offer individual vision insurance plans on . The multi-carrier insurance ... rate and review products, allowing consumers to compare, quote and match plans to ...
(Date:11/30/2015)... ... November 30, 2015 , ... During the National ... caregivers and held two webinars on topics of ‘Medical and Palliative Care Decisions,’ ... at . , With a loved one's diagnosis of mesothelioma, the ...
Breaking Medicine News(10 mins):
(Date:11/30/2015)... , Nov. 30, 2015  The ... norm in U.S. medical imaging is on ... popular accountable care payer-provider contracts are set ... in their wake, alter provider-vendor relationships. The ... will push forward new purchasing frameworks in ...
(Date:11/30/2015)... , Nov. 30, 2015 Oramed Pharmaceuticals Inc. ... on the development of oral drug delivery systems, announced ... valued at up to $50,000,000 with Hefei Tianhui Incubator of Technologies Co., ... insulin capsule, ORMD-0801, in China , ... Macau . The agreements were signed at the ...
(Date:11/30/2015)... Nov. 30, 2015 iCAD, Inc. (Nasdaq: ... feature its latest solutions for advanced image analysis ... cancer at the Radiological Society of North American ... from November 29 to December 4, ... including iReveal®, an automated breast density assessment solution, ...
Breaking Medicine Technology: