Health system performance for the high-need patient

"The health care system needs to work better for the highest-need, most-complex patients. This study’s findings highlight the importance of tailoring interventions to address their needs."

Health system performance for the high-need patient: A look at access to care and patient care experiences
CA Salzberg, SL Hayes, D McCarthy, D Radley, MK Abrams, T Shah, G Anderson
The Commonwealth Fund
August 2016

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Bringing hospital-level care to the patient

"This case study is one in an ongoing series examining programs that aim to improve outcomes and reduce costs of care for patients with complex needs, who account for a large share of U.S. health care spending."

The hospital at home model: Bringing hospital-level care to the patient
S Klein, M Hostetter, D McCarthy
The Commonwealth Fund
August 2016

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Assessing the potential for improvement of primary care

"We could largely confirm the hypothesis that a stronger primary care structure is associated with more person-focused care."

Assessing the potential for improvement of primary care in 34 countries: a cross-sectional survey
WLA Schafer, WGW Boerma, AM Murante, HJM Sixma, FG Schellevis, PP Groenewegen
Bulletin of the World Health Organization, 2015, 93:161-168

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Why social care matters: The next five years

"This document sets out the distinctive role and value of social care in the 21st century, when we are living longer, often with multiple health conditions that need a focus on the whole person and not just a single disease."

Distinctive, valued, personal: Why social care matters: The next five years
Directors of Adult Social Services
March 2015

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Cost of hospital-acquired complications for older people with and without dementia

"Advances in models of care, nurse skill-mix and healthy work environments show promise in prevention of these complications for dementia and non-dementia patients."

The cost of hospital-acquired complications for older people with and without dementia: a retrospective cohort study
K Bail, et al.
BMC Health Services Research, 2015, 15:91

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Importance of multimorbidity in explaining utilisation and costs

“The more co-morbidities that a person has, the more likely they are to require care across diverse settings, and the higher their costs.”

Importance of multmorbidity in explaining utilisation and costs across health and social care settings: Evidence from South Somerset’s Symphony Project
CHE Research Paper 96
P Kasteridis, A Street, M Dolman, L Gallier, K Hudson, J Martin, I Wyer
Centre for Health Economics
The University of York
February 2014

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The NHS payment system: evolving policy and emerging evidence

"But the payment system for NHS-funded services is in need of reform to support a health system that meets the needs of an ageing population, with growing prevalence of multiple chronic diseases, in the context of tightly constrained resources."

The NHS payment system: evolving policy and emerging evidence
L Marshall, A Charlesworth, J Hurst
Nuffield Trust
February 2014

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Starting today: the future of mental health services

"The economic impact of poor mental health is estimated to be over £100 billion to the economy each year in England alone. Yet despite this, we know that the care and treatment that we offer people with mental health problems is variable - many people with mental health problems have trouble accessing services; interventions are not always effective; services can be poor at providing a holistic response to people’s needs, for instance neglecting people’s physical health; and many simply get no help at all (some do not seek it, or give up trying due to difficulties accessing help)."

Starting today: the future of mental health services
Mental Health Foundation
September 2013

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Chronic kidney disease in England: the human and financial cost

"The purpose of this paper is to examine the impact of chronic kidney disease (CKD) and associated complications and comorbidities on quality of life, mortality and NHS costs in England."

Chronic kidney disease in England: the human and financial cost
M Kerr
NHS Kidney Care

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Continuity of care for older hospital patients

"This exploratory paper draws attention to an overlooked but important topic: the contribution that continuity of care makes to the quality of care experienced in hospital by patients with multiple health problems aged 70 years and older, and also how it affects the experience of the people closest to them."

Continuity of care for older hospital patients: a call for action
J Cornwell, R Levenson, L Sonola, E Potellakhoff
The King's Fund
March 2012

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Guiding patients through complexity: modern medical generalism

"This Commission believes that medical generalism has a strong and growing part to play in the way that health care must change, radically, to respond both to the needs of an ageing population living with widespread, often multiple, chronic conditions and to the growing imperative for patients to be in partnership with their doctors and to be able jointly to plan their care."


Guiding patients through complexity: modern medical generalism: Report of an independent commission for the Royal College of General Practitioners and the Health Foundation
The Health Foundation
October 2011

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Comparative effectiveness research and patients with multiple chronic conditions

"The aim of comparative effectiveness research (CER) is to improve the quality, effectiveness, and efficiency of health care and to help patients, health care professionals, and purchasers make informed decisions."


Comparative effectiveness research and patients with multiple chronic conditions
ME Tinetti, SA Studenski
New England Journal of Medicine, June 22, 2011

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Care coordination model

"This white paper outlines methods and opportunities to better coordinate care for people with multiple health and social needs, and reviews ways that organizations have allocated resources to better meet the range of needs in this population."

Care coordination model: better care at lower cost for people with multiple health and social needs
C Craig, D Eby, J Whittington
Institute for Health Innovation
2011

Read more here. (Free registration required).