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Implementation of Care Management: An Analysis of Recent AHRQ Research
- Source :
- Medical care research and review : MCRR, vol 75, iss 1
- Publication Year :
- 2016
-
Abstract
- Care management (CM) is a promising team-based, patient-centered approach “designed to assist patients and their support systems in managing medical conditions more effectively.” As little is known about its implementation, this article describes CM implementation and associated lessons from 12 Agency for Healthcare Research and Quality–sponsored projects. Two rounds of data collection resulted in project-specific narratives that were analyzed using an iterative approach analogous to framework analysis. Informants also participated as coauthors. Variation emerged across practices and over time regarding CM services provided, personnel delivering these services, target populations, and setting(s). Successful implementation was characterized by resource availability (both monetary and nonmonetary), identifying as well as training employees with the right technical expertise and interpersonal skills, and embedding CM within practices. Our findings facilitate future context-specific implementation of CM within medical homes. They also inform the development of medical home recognition programs that anticipate and allow for contextual variation.
- Subjects :
- Medical home
Knowledge management
care management
Health literacy
Article
03 medical and health sciences
primary care
0302 clinical medicine
Resource (project management)
Social skills
Nursing
United States Agency for Healthcare Research and Quality
Clinical Research
Patient-Centered Care
Health care
Agency (sociology)
Patient experience
Medicine
Humans
030212 general & internal medicine
implementation
PCMH
Data collection
Primary Health Care
business.industry
030503 health policy & services
Health Policy
patient-centered medical home
Business and Management
Health Plan Implementation
Health Services
Continuity of Patient Care
care coordination
United States
Good Health and Well Being
Public Health and Health Services
Health Policy & Services
0305 other medical science
business
Subjects
Details
- Language :
- English
- Database :
- OpenAIRE
- Journal :
- Medical care research and review : MCRR, vol 75, iss 1
- Accession number :
- edsair.doi.dedup.....699e75def7c44bccade7cff84b2bfd4a