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The Clinical Resource Hub Initiative: First-Year Implementation of the Veterans Health Administration Regional Telehealth Contingency Staffing Program. 临床资源中心计划：退伍军人健康管理局地区远程医疗应急人员配备计划第一年实施情况。
IF 2.3
JOURNAL OF AMBULATORY CARE MANAGEMENT Pub Date : 2023-07-01 Epub Date: 2023-04-21 DOI: 10.1097/JAC.0000000000000468
Kedron Burnett, Susan E Stockdale, Jean Yoon, Addison Ragan, Matthew Rogers, Lisa V Rubenstein, Chelle Wheat, Erin Jaske, Danielle E Rose, Karin Nelson
{"title":"The Clinical Resource Hub Initiative: First-Year Implementation of the Veterans Health Administration Regional Telehealth Contingency Staffing Program.","authors":"Kedron Burnett, Susan E Stockdale, Jean Yoon, Addison Ragan, Matthew Rogers, Lisa V Rubenstein, Chelle Wheat, Erin Jaske, Danielle E Rose, Karin Nelson","doi":"10.1097/JAC.0000000000000468","DOIUrl":"10.1097/JAC.0000000000000468","url":null,"abstract":"<p><p>Health care systems face challenges providing accessible health care across geographically disparate sites. The Veterans Health Administration (VHA) developed regional telemedicine service focusing initially on primary care and mental health services. The objective of this study is to describe the program and progress during the early implementation. In its first year, the Clinical Resource Hub program provided 244 515 encounters to 95 684 Veterans at 475 sites. All 18 regions met or exceeded minimum implementation requirements. The regionally based telehealth contingency staffing hub met early implementation goals. Further evaluation to review sustainability and impact on provider experience and patient outcomes is needed.</p>","PeriodicalId":46654,"journal":{"name":"JOURNAL OF AMBULATORY CARE MANAGEMENT","volume":"46 3","pages":"228-239"},"PeriodicalIF":2.3,"publicationDate":"2023-07-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC10213110/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"10593270","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
引用次数: 0
A Call to Action to Address the Social Determinants of Health. 解决健康问题社会决定因素的行动呼吁。
IF 2.3
JOURNAL OF AMBULATORY CARE MANAGEMENT Pub Date : 2023-04-01 DOI: 10.1097/JAC.0000000000000461
Celia Larson, Abraham Mukolo, Tracy Buck, KaShawna Lollis, Melva Black
{"title":"A Call to Action to Address the Social Determinants of Health.","authors":"Celia Larson,&nbsp;Abraham Mukolo,&nbsp;Tracy Buck,&nbsp;KaShawna Lollis,&nbsp;Melva Black","doi":"10.1097/JAC.0000000000000461","DOIUrl":"https://doi.org/10.1097/JAC.0000000000000461","url":null,"abstract":"<p><p>Rapid growth in metropolitan areas is associated with urban development and revitalization. However, neighborhood gentrification has negatively affected low income and communities of color by displacement and compounding structural and systemic inequities. Black/African American, Hispanic/Latino, and immigrants/refugee communities are burdened with negative health outcomes from adverse circumstances illustrated by disparities in the social determinants of health and health indicators, that is, chronic disease and COVID-19. To remediate the situation and restore health, the multisector response needs to be reframed and emphasize systemic, integrated, and aligned efforts. These include policy, systems and environmental change approaches, community involvement, improvement of data systems, and workforce development.</p>","PeriodicalId":46654,"journal":{"name":"JOURNAL OF AMBULATORY CARE MANAGEMENT","volume":"46 2","pages":"143-151"},"PeriodicalIF":2.3,"publicationDate":"2023-04-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"10592766","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
引用次数: 0
Commentary: 2023 Is the Year the Public Health Emergency Is Expected to End: What Will Happen to the Uninsured? 评论:2023年是公共卫生紧急事件预计结束的一年:没有保险的人会怎么样?
IF 2.3
JOURNAL OF AMBULATORY CARE MANAGEMENT Pub Date : 2023-04-01 DOI: 10.1097/JAC.0000000000000463
Gail R Wilensky
{"title":"Commentary: 2023 Is the Year the Public Health Emergency Is Expected to End: What Will Happen to the Uninsured?","authors":"Gail R Wilensky","doi":"10.1097/JAC.0000000000000463","DOIUrl":"https://doi.org/10.1097/JAC.0000000000000463","url":null,"abstract":"","PeriodicalId":46654,"journal":{"name":"JOURNAL OF AMBULATORY CARE MANAGEMENT","volume":"46 2","pages":"86-88"},"PeriodicalIF":2.3,"publicationDate":"2023-04-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC9946062/pdf/jamcm-46-86.pdf","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"10223976","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
引用次数: 0
Process Improvement and Information Technology: The Keys to Health Care Transformation. 流程改进和信息技术:卫生保健转型的关键。
IF 2.3
JOURNAL OF AMBULATORY CARE MANAGEMENT Pub Date : 2023-04-01 DOI: 10.1097/JAC.0000000000000446
Barry Chaiken, Joseph Restuccia
{"title":"Process Improvement and Information Technology: The Keys to Health Care Transformation.","authors":"Barry Chaiken,&nbsp;Joseph Restuccia","doi":"10.1097/JAC.0000000000000446","DOIUrl":"https://doi.org/10.1097/JAC.0000000000000446","url":null,"abstract":"<p><p>Human beings are inherently resistant to change. In our technologically driven world, change happens fast, thereby regularly challenging us inherently change-averse humans to adjust. Only through rapid, effective, outcomes-driven change can we address the numerous challenges facing health care today. And as health care leaders, it is our responsibility to learn how to become the most effective change leader so that we can deliver the changes in systems, processes, and thinking required to deliver ever-improving quality, safety, and access to care while managing its cost.</p>","PeriodicalId":46654,"journal":{"name":"JOURNAL OF AMBULATORY CARE MANAGEMENT","volume":"46 2","pages":"106-113"},"PeriodicalIF":2.3,"publicationDate":"2023-04-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"10229527","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
引用次数: 0
Harnessing the Collective Expertise of Patients, Care Partners, Clinical Teams, and Researchers Through a Coproduction Learning Health System: A Case Study of the Dartmouth Health Promise Partnership. 通过共同生产学习型医疗系统利用患者、护理合作伙伴、临床团队和研究人员的集体专业知识：达特茅斯健康承诺伙伴关系案例研究》。
IF 2.3
JOURNAL OF AMBULATORY CARE MANAGEMENT Pub Date : 2023-04-01 DOI: 10.1097/JAC.0000000000000460
Anna N A Tosteson, Kathryn B Kirkland, Megan M Holthoff, Aricca D Van Citters, Gabriel A Brooks, Amelia M Cullinan, Miriam C Dowling-Schmitt, Anne B Holmes, Kenneth R Meehan, Brant J Oliver, Garrett T Wasp, Matthew M Wilson, Eugene C Nelson
{"title":"Harnessing the Collective Expertise of Patients, Care Partners, Clinical Teams, and Researchers Through a Coproduction Learning Health System: A Case Study of the Dartmouth Health Promise Partnership.","authors":"Anna N A Tosteson, Kathryn B Kirkland, Megan M Holthoff, Aricca D Van Citters, Gabriel A Brooks, Amelia M Cullinan, Miriam C Dowling-Schmitt, Anne B Holmes, Kenneth R Meehan, Brant J Oliver, Garrett T Wasp, Matthew M Wilson, Eugene C Nelson","doi":"10.1097/JAC.0000000000000460","DOIUrl":"10.1097/JAC.0000000000000460","url":null,"abstract":"<p><p>The coproduction learning health system (CLHS) model extends the definition of a learning health system to explicitly bring together patients and care partners, health care teams, administrators, and scientists to share the work of optimizing health outcomes, improving care value, and generating new knowledge. The CLHS model highlights a partnership for coproduction that is supported by data that can be used to support individual patient care, quality improvement, and research. We provide a case study that describes the application of this model to transform care within an oncology program at an academic medical center.</p>","PeriodicalId":46654,"journal":{"name":"JOURNAL OF AMBULATORY CARE MANAGEMENT","volume":"46 2","pages":"127-138"},"PeriodicalIF":2.3,"publicationDate":"2023-04-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC9976397/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"10592767","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
引用次数: 0
Quality of Life in Oncology: Measuring What Matters for Cancer Patients and Survivors in Europe: The EUonQol Project. 肿瘤学的生活质量:衡量欧洲癌症患者和幸存者的重要性:EUonQol项目。
IF 2.3
JOURNAL OF AMBULATORY CARE MANAGEMENT Pub Date : 2023-04-01 DOI: 10.1097/JAC.0000000000000449
Giovanni Apolone, Cinzia Brunelli
{"title":"Quality of Life in Oncology: Measuring What Matters for Cancer Patients and Survivors in Europe: The EUonQol Project.","authors":"Giovanni Apolone,&nbsp;Cinzia Brunelli","doi":"10.1097/JAC.0000000000000449","DOIUrl":"https://doi.org/10.1097/JAC.0000000000000449","url":null,"abstract":"<p><p>Cancer, in Europe, is the second cause of death. In addition, there is an unacceptable variability in terms of access to innovation, quality of care, and outcomes, within and between countries. The European Union has activated an unprecedented initiative to fight cancer by launching Europe's Beating Cancer Plan and the Cancer Mission. The goals are to reduce mortality, increase survival, and ameliorate quality of life by increasing knowledge, improving quality of care, and reducing inequalities through interventions on actionable determinants of variability. A competitive call was launched with the objective to develop and validate a set of quality of life and patient preference measures for cancer patients and survivors, to be used for routine data collection all over Europe. A consortium, the EUonQoL, was funded, including partners from 41 countries with 55 participants. It will start the activities on January 2023 and rresults are expected by December 2024.</p>","PeriodicalId":46654,"journal":{"name":"JOURNAL OF AMBULATORY CARE MANAGEMENT","volume":"46 2","pages":"139-142"},"PeriodicalIF":2.3,"publicationDate":"2023-04-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"9264362","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
引用次数: 0
From the Editor. 来自编辑。
IF 2.3
JOURNAL OF AMBULATORY CARE MANAGEMENT Pub Date : 2023-04-01 DOI: 10.1097/JAC.0000000000000462
{"title":"From the Editor.","authors":"","doi":"10.1097/JAC.0000000000000462","DOIUrl":"10.1097/JAC.0000000000000462","url":null,"abstract":"","PeriodicalId":46654,"journal":{"name":"JOURNAL OF AMBULATORY CARE MANAGEMENT","volume":"46 2","pages":"69-72"},"PeriodicalIF":2.3,"publicationDate":"2023-04-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"10779105","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
引用次数: 0
Patient-Centered Payment for Care of Chronic Conditions. 以患者为中心的慢性病医疗支付。
IF 2.3
JOURNAL OF AMBULATORY CARE MANAGEMENT Pub Date : 2023-04-01 DOI: 10.1097/JAC.0000000000000455
Harold D Miller
{"title":"Patient-Centered Payment for Care of Chronic Conditions.","authors":"Harold D Miller","doi":"10.1097/JAC.0000000000000455","DOIUrl":"https://doi.org/10.1097/JAC.0000000000000455","url":null,"abstract":"<p><p>Current payment systems make it difficult for both specialists and primary care practices to provide all of the services needed by patients with chronic conditions. \"Value-based payment\" programs have failed to solve these problems. In a patient-centered payment system, there should be 4 separate payments designed specifically to support each of the phases of chronic condition care: (1) Diagnosis Payment, (2) Care Planning Payment, (3) Initial Condition Management Payment, and (4) Monthly Condition Management Payments. Physicians should be accountable for delivering evidence-based services to patients in each phase of care, and payment amounts should be higher for more complex patients.</p>","PeriodicalId":46654,"journal":{"name":"JOURNAL OF AMBULATORY CARE MANAGEMENT","volume":"46 2","pages":"89-96"},"PeriodicalIF":2.3,"publicationDate":"2023-04-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://ftp.ncbi.nlm.nih.gov/pub/pmc/oa_pdf/83/76/jamcm-46-089.PMC9946167.pdf","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"10574621","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
引用次数: 0
The Medicare IPPS 40 Years Later: Lessons Learned and What to Do Next. 医疗保险IPPS 40年后:经验教训和下一步该怎么做。
IF 2.3
JOURNAL OF AMBULATORY CARE MANAGEMENT Pub Date : 2023-04-01 DOI: 10.1097/JAC.0000000000000454
Richard F Averill, Ronald E Mills
{"title":"The Medicare IPPS 40 Years Later: Lessons Learned and What to Do Next.","authors":"Richard F Averill,&nbsp;Ronald E Mills","doi":"10.1097/JAC.0000000000000454","DOIUrl":"https://doi.org/10.1097/JAC.0000000000000454","url":null,"abstract":"<p><p>The 1983 implementation of the Medicare Inpatient Prospective Payment System (IPPS) was successful in controlling Medicare inpatient costs because it was designed as a clinically credible management tool that facilitated real behavior change and performance improvement. The next phase of IPPS should expand the inpatient payment bundle to a hospital episode-of-care performance bundle that explicitly links episode cost and quality. A uniform, comparable, and transparent episode performance bundle that highlights the tradeoffs between episode cost and quality can expand the incentives to control costs and provide hospitals the management information to improve performance.</p>","PeriodicalId":46654,"journal":{"name":"JOURNAL OF AMBULATORY CARE MANAGEMENT","volume":"46 2","pages":"73-82"},"PeriodicalIF":2.3,"publicationDate":"2023-04-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"9264359","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
引用次数: 0
The Time Is Now: The Case for Transforming Primary Care. 时机就是现在:改变初级保健的案例。
IF 2.3
JOURNAL OF AMBULATORY CARE MANAGEMENT Pub Date : 2023-04-01 DOI: 10.1097/JAC.0000000000000447
Noah Nesin, Suzanne Houck, Jeff Brown, Charles Burger
{"title":"The Time Is Now: The Case for Transforming Primary Care.","authors":"Noah Nesin,&nbsp;Suzanne Houck,&nbsp;Jeff Brown,&nbsp;Charles Burger","doi":"10.1097/JAC.0000000000000447","DOIUrl":"https://doi.org/10.1097/JAC.0000000000000447","url":null,"abstract":"B Y NOW THE FACTS are well known. The United States spends far more on healthcare than any country in the world (20% of GDP), and ranks last among high-income countries in access, administrative efficiency, equity, and health outcomes. We have the highest infant mortality and lowest life expectancy. Even compared with many lower-income countries, we perform poorly (Doty et al., 2019; Kurani & Wager, 2021; Schneider et al., 2021; World Health Organization, 2017; World Health Organization, 2022a). Our care is fragmented, focused on disease rather than prevention and wellness, and is less safe than other developed countries. Feefor-service payment structures incentivize volume at the expense of quality and innovation while inhibiting team-based care. Fee-for-service has a particularly pernicious effect in primary care, where resulting time pressures undermine patient relationships,","PeriodicalId":46654,"journal":{"name":"JOURNAL OF AMBULATORY CARE MANAGEMENT","volume":"46 2","pages":"97-102"},"PeriodicalIF":2.3,"publicationDate":"2023-04-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"10592764","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
引用次数: 0
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