التفاصيل البيبلوغرافية
| العنوان: |
Evaluation of a Chronic Care Management Model for Improving Efficiency and Fiscal Sustainability. |
| المؤلفون: |
Kadree, Margaret A. margaret.kadree@vdh.virginia.gov, Wiggins, Patrick, Thompson, Lura, Warriner, Cynthia, White, Michelle |
| المصدر: |
American Journal of Public Health. Feb2025, Vol. 115 Issue 2, p133-137. 5p. |
| مصطلحات موضوعية: |
*COST control, *RESEARCH funding, *HEALTH insurance reimbursement, *STATISTICAL sampling, *MEDICARE, *DESCRIPTIVE statistics, *FINANCIAL management, *QUALITY assurance, CHRONIC disease treatment, DISEASE management, EVALUATION of human services programs, HYPERTENSION, TREATMENT effectiveness, CHRONIC diseases, TYPE 2 diabetes, HOSPITAL health promotion programs, HEALTH care teams, MEDICAL care costs |
| مستخلص: |
Chronic care management is effective. Barriers to program durability include dependence on the provider–nurse duo to carry out labor-intensive services and the lack of a fiscally sustainable model. Between January and October 2022, an expanded chronic care management team—consisting of a provider, nurse, community health worker, and pharmacist—conducted a four-month intervention in an ambulatory setting. This intervention, using a convenience sample of 134 Medicare patients with uncontrolled type 2 diabetes or hypertension, demonstrated statistically significant improvements in controlling type 2 diabetes (P <.01) and blood pressure (P <.001). Direct provider workload decreased, and the Medicare reimbursement rate was 85.5%. (Am J Public Health. 2025;115(2):133–137. https://doi.org/10.2105/AJPH.2024.307886) [ABSTRACT FROM AUTHOR] |
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