Navigation Links
Guided Care participants rate quality of health care high
Date:1/19/2010

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
tmparson@jhsph.edu
410-955-7619
Johns Hopkins University Bloomberg School of Public Health
Source:Eurekalert

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:
*Name:
*Comment:
*Email:
(Date:7/27/2017)... ATLANTA, Ga. (PRWEB) , ... July 27, 2017 , ... ... Man native Sam Brand to the men’s pro squad as a stagiaire for the ... to make his professional debut on July 31st at the Tour of Utah. , ...
(Date:7/26/2017)... ... 26, 2017 , ... Written By: Ashley D. Beall, MD, ... drug therapy for patients living with relapsing and primary multiple sclerosis that can ... targeted therapy that has been proven to significantly reduce signs of disease activity ...
(Date:7/26/2017)... ... July 26, 2017 , ... “We are dentists and we thought there could ... Calif., “so we invented the MAGNETIC/ LOCK BRACKETS.” , The patent-pending MAGNETIC/ LOCK BRACKETS ... doing so, it offers an effective alternative to traditional braces. As a result, it ...
(Date:7/26/2017)... ... July 26, 2017 , ... “We are thrilled to be partnering with Six ... schedule an appointment online in real time,” said Keith English, LocalMed CEO. “Allowing patients ... will bring more Six Month Smiles patients to their providers.” , Each month, over ...
(Date:7/26/2017)... Wheaton, IL (PRWEB) , ... July 26, 2017 , ... Wendy M. Musielak, ... Cores LLP, was elected as DuPage County Bar Association’s third Vice President earlier this year. ... succeeding to the office of the second Vice President, in accordance with the organization’s by-laws. ...
Breaking Medicine News(10 mins):
(Date:7/21/2017)... know that PhRMA member companies invested $65.5 billion in research and ... generics and the supply chain account for 14 percent of total ... (7 percent)? Or that the United States ... high-growth biopharmaceutical startups? ... The biopharmaceutical industry accounts for 1 ...
(Date:7/17/2017)... , July 17, 2017  MedX Holdings, Inc., ... medical testing, strengthening and rehabilitation equipment, today announced the ... Program. MedX is considered the gold standard for the ... in specialized medical strengthening equipment. ... lease with the physician or practice who prescribe the ...
(Date:7/14/2017)... It should come as no surprise to anyone that ... of a crippling opioid epidemic. According to the Center ... deaths from opiate-based medications has quadrupled, Says, Dr. David ... 2001 to 2015". During this time, the prescription rate for ... a compelling link between prescription and eventual addiction. The problem ...
Breaking Medicine Technology: