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Centre for Policy on Ageing | |
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| Capitated risk-bearing managed care systems could improve end-of-life care | | Author(s) | Joanne Lynn, Anne Wilkinson, Felicia Cohn |
| Journal title | Journal of the American Geriatrics Society, vol 46, no 3, March 1998 |
| Pages | pp 322-330 |
| Keywords | Terminal care ; Quality ; Management [care] ; Finance [care] ; United States of America. |
| Annotation | In the US, capitated or salaried managed care systems offer an important opportunity to provide high quality, cost-effective end-of-life care - but have strong incentives to avoid provision of such care. The main alternative is hospice, but access is limited and length of stay short. The authors propose a special, comprehensive system of managed care - MediCaring - for seriously ill people nearing the end of life. MediCaring would encompass the best elements of palliative care within a managed care structure: comprehensive, supportive, community-based services that meet personal and medical needs, a focus on patient preferences, symptom management, family counselling, and support. Other programmes, such as hospice, have shown that continuity and co-ordinated care, financed through a capitated payment and directed at a special population, are both feasible and effective. What is being sought is a seamless approach whereby capitated payments from managed care are directed at commitment to enhanced end-of-life care. (RH). |
| Accession Number | CPA-980821006 A |
| Classmark | LV: 59: QA: QC: 7T |
Data © Centre for Policy on Ageing |
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| ...from the Ageinfo database published by Centre for Policy on Ageing. |
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