preventing hospitalization; reducing hospitalization
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Management
- frequent in-person meetings with patients
- in-person meetings with physicians
- a communications hub for physicians
- evidence-based patient education
- emphasis on medication management
- proactive transitional care
- multidisciplinary intervention that includes home visits[3]
References
- ↑ Geriatric Review Syllabus, 8th edition (GRS8) Durso SC and Sullivan GN (eds) American Geriatrics Society, 2013
- ↑ Brown RS, Peikes D, Peterson G, Schore J, Razafindrakoto CM. Six features of Medicare coordinated care demonstration programs that cut hospital admissions of high-risk patients. Health Aff (Millwood). 2012 Jun;31(6):1156-66 PMID: https://www.ncbi.nlm.nih.gov/pubmed/22665827
- ↑ 3.0 3.1 NEJM Knowledge+ Question of the Week. May 7, 2019 https://knowledgeplus.nejm.org/question-of-week/1685/
Linertova R, Garcia-Perez L, Vazquez-Diaz JR et al. Interventions to reduce hospital readmissions in the elderly: in-hospital or home care. A systematic review. J Eval Clin Pract 2011 Dec; 17:1167. PMID: https://www.ncbi.nlm.nih.gov/pubmed/20630005