Continuity Of Care For Adults Research Articles

Continuity of care for adults living in the community who have been diagnosed with congenital heart disease

There is a need for continuity of care for adults diagnosed with congenital heart disease (CHD) who have transitioned out of paediatric services and live in the community. The aim of this scoping review was to determine the types of psychosocial resources available to them. It examined English-language materials published or accessible between 1997 and 2018 that addressed CHD interventions. The findings suggest no psychosocial-based interventions for the adult CHD population have been evaluated. However, preliminary evidence begins to describe the needs and challenges of people with CHD in the community and primary care; it also identifies possible interventions that may require further exploration.

Individual and Contextual-Level Factors Associated with Continuity of Care for Adults with Schizophrenia

This retrospective cohort study examined rates of conformance to continuity of care treatment guidelines and factors associated with conformance for persons with schizophrenia. Subjects were 8,621 adult Ohio Medicaid recipients, aged 18-64, treated for schizophrenia in 2004. Information on individual-level (demographic and clinical characteristics) and contextual-level variables (county socio-demographic, economic, and health care resources) were abstracted from Medicaid claim files and the Area Resource File. Outcome measures captured four dimensions of continuity of care: (1) regularity of care; (2) transitions; (3) care coordination, and (4) treatment engagement. Multilevel modeling was used to assess the association between individual and contextual-level variables and the four continuity of care measures. The results indicated that conformance rates for continuity of care for adults with schizophrenia are below recommended guidelines and that variations in continuity of care are associated with both individual and contextual-level factors. Efforts to improve continuity of care should target high risk patient groups (racial/ethnic minorities, the dually diagnosed, and younger adults with early onset psychosis), as well as community-level risk factors (provider supply and geographic barriers of rural counties) that impede access to care.

You can't get there from here: obstacles to improving care of the chronically ill.

Commentary Health AffairsVol. 20, No. 6: Chronic Care In America You Can’t Get There From Here: Obstacles To Improving Care Of The Chronically IllBruce C. VladeckPUBLISHED:November/December 2001No Accesshttps://doi.org/10.1377/hlthaff.20.6.175AboutSectionsView articleView Full TextView PDFPermissions ShareShare onFacebookTwitterLinked InRedditEmail ToolsAdd to favoritesDownload CitationsTrack CitationsPermissions View articleTOPICSChronic diseaseChronic careMedicare savings programsMedicaidElderly careGovernment programs and policiesMedicare eligibilityOrganization of careManaged care plansMedicare Loading Comments... Please enable JavaScript to view the comments powered by Disqus. DetailsExhibitsReferencesRelated Article MetricsCitations: Crossref 10 History Published online 1 November 2001 InformationCopyright 2001 by Project HOPE - The People-to-People Health Foundation, Inc.PDF downloadCited ByElectronic medical record system avoidance in a turbulent environmentInformation & Management, Vol. 53, No. 5Individual and Contextual-Level Factors Associated with Continuity of Care for Adults with Schizophrenia21 May 2013 | Administration and Policy in Mental Health and Mental Health Services Research, Vol. 41, No. 5Results of the Promoting Effective Advance Care Planning for Elders (PEACE) Randomized Pilot StudyPopulation Health Management, Vol. 17, No. 2Improving Hypertension Control in a Population of Low-Income Frail Older Adults21 December 2010 | Journal of Applied Gerontology, Vol. 31, No. 4Results of the Medicare Health Support Disease-Management Pilot ProgramNew England Journal of Medicine, Vol. 365, No. 18Ecological Aging: The Settings Approach in Aged Living and Care Accommodation28 May 2008 | EcoHealth, Vol. 5, No. 2COMORBID MEDICAL ILLNESSES AND PERCEIVED GENERAL HEALTH AMONG ADULT RECIPIENTS OF MEDICAID MENTAL HEALTH SERVICES9 July 2009 | Issues in Mental Health Nursing, Vol. 28, No. 3The Impact of Comorbid Chronic Conditions on Diabetes CareDiabetes Care, Vol. 29, No. 3Improving the Outcomes of Heart Failure Care⁎⁎Editorials published in the Journal of the American College of Cardiologyreflect the views of the authors and do not necessarily represent the views of JACCor the American College of Cardiology.Journal of the American College of Cardiology, Vol. 45, No. 10SERVICE SYSTEM INTEGRATION: PANACEA FOR CHRONIC CARE POPULATIONS?