Meeting the Needs of Older Adults with Serious Illness (eBook)
XIII, 240 Seiten
Springer New York (Verlag)
978-1-4939-0407-5 (ISBN)
Meeting the Needs of Older Adults with Serious Illness: Challenges and Opportunities in the Age of Health Care Reform provides an introduction to the principles of palliative care; describes current models of delivering palliative care across care settings, and examines opportunities in the setting of healthcare policy reform for palliative care to improve outcomes for patients, families and healthcare institutions. The United States is currently facing a crisis in health care marked by unsustainable spending and quality that is poor relative to international benchmarks. Yet this is also a critical time of opportunity. Because of its focus on quality of care, the Affordable Care Act is poised to expand access to palliative care services for the sickest, most vulnerable, and therefore most costly, 5% of patients- a small group who nonetheless drive about 50% of all healthcare spending. Palliative care is specialized medical care for people with serious illnesses. It focuses on providing patients with relief from the symptoms, pain, and stress of a serious illness-whatever the diagnosis or stage of illness. The goal is to improve quality of life for both the patient and the family. Research has demonstrated palliative care's positive impact on health care value. Patients (and family caregivers) receiving palliative care experience improved quality of life, better symptom management, lower rates of depression and anxiety, and improved survival. Because patient and family needs are met, crises are prevented, thereby directly reducing need for emergency department and hospital use and their associated costs. An epiphenomenon of better quality of care, the lower costs associated with palliative care have been observed in multiple studies.
Meeting the Needs of Older Adults with Serious Illness: Challenges and Opportunities in the Age of Health Care Reform, a roadmap for effective policy and program design, brings together expert clinicians, researchers and policy leaders, who tackle key areas where real-world policy options to improve access to quality palliative care could have a substantial role in improving value.
Amy S. Kelley, MD MSHS
Icahn School of Medicine at Mount Sinai, Brookdale Department of Geriatrics and Palliative Medicine, New York, NY, USA
Diane E. Meier, MD
Director, Center to Advance Palliative Care, Professor and Vice-chair for Public Policy, Icahn School of Medicine at Mount Sinai, Brookdale Department of Geriatrics and Palliative Medicine, New York, NY, USA
Meeting the Needs of Older Adults with Serious Illness: Challenges and Opportunities in the Age of Health Care Reform provides an introduction to the principles of palliative care; describes current models of delivering palliative care across care settings, and examines opportunities in the setting of healthcare policy reform for palliative care to improve outcomes for patients, families and healthcare institutions. The United States is currently facing a crisis in health care marked by unsustainable spending and quality that is poor relative to international benchmarks. Yet this is also a critical time of opportunity. Because of its focus on quality of care, the Affordable Care Act is poised to expand access to palliative care services for the sickest, most vulnerable, and therefore most costly, 5% of patients- a small group who nonetheless drive about 50% of all healthcare spending. Palliative care is specialized medical care for people with serious illnesses. It focuses on providing patients with relief from the symptoms, pain, and stress of a serious illness-whatever the diagnosis or stage of illness. The goal is to improve quality of life for both the patient and the family. Research has demonstrated palliative care's positive impact on health care value. Patients (and family caregivers) receiving palliative care experience improved quality of life, better symptom management, lower rates of depression and anxiety, and improved survival. Because patient and family needs are met, crises are prevented, thereby directly reducing need for emergency department and hospital use and their associated costs. An epiphenomenon of better quality of care, the lower costs associated with palliative care have been observed in multiple studies. Meeting the Needs of Older Adults with Serious Illness: Challenges and Opportunities in the Age of Health Care Reform, a roadmap for effective policy and program design, brings together expertclinicians, researchers and policy leaders, who tackle key areas where real-world policy options to improve access to quality palliative care could have a substantial role in improving value.
Amy S. Kelley, MD MSHSIcahn School of Medicine at Mount Sinai, Brookdale Department of Geriatrics and Palliative Medicine, New York, NY, USADiane E. Meier, MDDirector, Center to Advance Palliative Care, Professor and Vice-chair for Public Policy, Icahn School of Medicine at Mount Sinai, Brookdale Department of Geriatrics and Palliative Medicine, New York, NY, USA
Current Needs of Older Adults with Serious IllnessChapter 1When More is Less: Overuse of medical services harms patientsShannon Brownlee, MS, Christine Cassel, MD, and Vikas Saini, MDChapter 2Disparities in Access to Palliative CareCardinale B. Smith and Otis W. BrawleyChapter 3Family Caregiving and Palliative Care: Aligning Theory, Practice, and PolicyCarol Levine and Carol V. O’ShaughnessySettings for the Care of the Seriously IllChapter 4This is Your Life: Achieving a Comprehensive, Person-Centered Model of Care at the Intersection of Policy, Politics, and Private Sector InnovationBrad Stuart, M.D., Andrew MacPherson, Gary BacherChapter 5Hospice and Health Care Reform: What is the Optimal Path?Melissa D. Aldridge, Jean S. KutnerChapter 6Palliative Care in the Long Term Care SettingMary Ersek, Justine S. Sefcik, David G. StevensonMeasuring Quality and Paying for the Care of the Seriously IllChapter 7Meeting the Needs of Older Adults with Serious Illness: Challenges and Opportunities in the Age of Health Care ReformLaura C. Hanson, MD, MPH, Anna Schenck, PhD, Helen Burstin, MD, MPH Chapter 8Palliative care’s impact on utilization and costs: Implications for health services research and policyJ. Brian Cassel Chapter 9Long-term Services and Supports: A Necessary Complement to Palliative CareJudy Feder, Harriet Komisar, and Robert BerensonChapter 10The Manifest Destinies of Managed Care and Palliative Care Richard H Bernstein Karol DiBello Platforms for ImprovementChapter 11Models of Care Delivery and Coordination: Palliative Care Integration within Accountable Care OrganizationsRobert Sawicki, Susan Block, Lori Bishop, Monique Reese, Dottie Deremo, Susan Block, MD, Vicki Jackson, MD, and Thomas Lee, MDChapter 12Implementing a Care Planning System: How to Fix the Most Pervasive Errors in Health CareBernard J. Hammes, Ph.D., Linda A. Briggs, M.A., M.S., R.N., William Silvester, M.D., Kent Wilson, M.D., Sue Schettle, John Maycroft, M.P.P., Julie Sandoval, M.D., Ann E. Orders, M.H.A., Melissa Stern, M.B.A. Chapter 13Igniting Action to Integrate Palliative Care in our US Health System: The Role of Disease Specific Advocacy GroupsA cancer advocacy case studyRebecca Kirch, Andy MillerChapter 14 What do you mean you don’t also offer palliative care? Effective public engagement to harness demand to improve care for serious illness Sharyn M. Sutton PhD and Marian S. Grant, DNP, CRNP, RNChapter 15Research Priorities in Palliative Care for Older AdultsR. Sean Morrison, MDChapter 16Medical and Nursing Education & TrainingCharles F. von Gunten, MD, PhD, Betty R. Ferrell, RN, PhD
| Erscheint lt. Verlag | 1.9.2014 |
|---|---|
| Reihe/Serie | Aging Medicine | Aging Medicine |
| Zusatzinfo | XIII, 240 p. 17 illus., 16 illus. in color. |
| Verlagsort | New York |
| Sprache | englisch |
| Themenwelt | Medizin / Pharmazie ► Allgemeines / Lexika |
| Medizin / Pharmazie ► Gesundheitswesen | |
| Medizin / Pharmazie ► Medizinische Fachgebiete ► Allgemeinmedizin | |
| Medizin / Pharmazie ► Medizinische Fachgebiete ► Geriatrie | |
| Medizin / Pharmazie ► Medizinische Fachgebiete ► Palliativmedizin | |
| Schlagworte | Care competencies • Hospice • long term care • outcomes • Palliative Care • Quality Measures |
| ISBN-10 | 1-4939-0407-8 / 1493904078 |
| ISBN-13 | 978-1-4939-0407-5 / 9781493904075 |
| Haben Sie eine Frage zum Produkt? |
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