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Outpatient Palliative Care Reduces Hospitalizations, Which Impact Costs, While Improving Quality of Life for Seniors and Family Caregivers - New Study in American Journal of Managed Care
Date:12/2/2009

egivers participated in the trial. The study found that patients who received AICC experienced significantly fewer admissions than patients who received usual care.

Joseph B. Engelhardt Ph.D., Care Support of America VP of Research and Development, is lead author of the study, which was supported by Kaiser Permanente and funded by the Garfield Foundation. Dr. Tobin is a co-author.

Health, Coping, and Caregiving Counseling

Participants received six individualized, strengths-based counseling sessions that included: health-related topics; coping with changing health status including anxiety, interpersonal conflicts, and existential concerns; and family caregiving concerns such as maximizing healthcare benefits, home safety, home care, and long term care planning.

Researchers were supported with Web tools and clinical software to ensure that all topics were covered and tasks completed.

Patients who received CSA's Advanced Illness Coordinated Care program were found to have:

  • improved communication and care concerning their symptoms,
  • improved support in understanding and coping with their illness,
  • improved help in accessing spiritual support,
  • improved quality of life.

Both patients and caregivers reported a deeper appreciation of the entire advanced illness health situation, particularly that care coordination and planning for worsening of the illness would be ongoing. Patients were more likely to formulate advance directives. Caregivers in the AICC group reported more attention for their own emotional and spiritual needs.

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