Your browser doesn't support javascript.
loading
Categorical funding to seamless systems of care: the challenge for community-based primary care providers.
Ulmer, C; Lewis-Idema, D; Falik, M; Raggio, T P; Stoessel, P; Coughlin, T; Butterworth, D; Tillman, J.
Afiliación
  • Ulmer C; MDS Associates, Wheaton, MD 20902, USA.
J Case Manag ; 6(3): 96-103, 1997.
Article en En | MEDLINE | ID: mdl-9573968
Integrating categorical funding to design "seamless systems of care" for individual patients is a challenge faced by many local community-based providers. Providers may choose to develop separate site-specific categorical programs for patients with human immunodeficiency virus (HIV) [e.g., specialized treatment site or a homeless clinic] or integrate these programs with their general primary care population. Regardless of program location, providers have developed patterns for finding the most appropriate medical home for a patient with multiple categorical risks. Medical records reviews and patient interviews indicate the importance of case managers in service coordination, although clinical issues appear more readily coordinated than situational ones. Provider dependence solely on case managers for service coordination, across sites and programs may become problematic in the era of managed care without a supportive information system that tracks client use and a records system that integrates clinical and social service notes. Local providers have encountered difficulties in exchanging essential medical information, even within a single agency, under state statutes regarding confidentiality of HIV test results.
Asunto(s)
Buscar en Google
Colección: 01-internacional Base de datos: MEDLINE Asunto principal: Atención Primaria de Salud / Servicios de Salud Comunitaria / Prestación Integrada de Atención de Salud / Manejo de Caso / Continuidad de la Atención al Paciente / Organización de la Financiación Tipo de estudio: Diagnostic_studies / Guideline / Prognostic_studies Aspecto: Implementation_research Límite: Female / Humans / Pregnancy País/Región como asunto: America do norte Idioma: En Revista: J Case Manag Asunto de la revista: ENFERMAGEM Año: 1997 Tipo del documento: Article País de afiliación: Estados Unidos Pais de publicación: Estados Unidos
Buscar en Google
Colección: 01-internacional Base de datos: MEDLINE Asunto principal: Atención Primaria de Salud / Servicios de Salud Comunitaria / Prestación Integrada de Atención de Salud / Manejo de Caso / Continuidad de la Atención al Paciente / Organización de la Financiación Tipo de estudio: Diagnostic_studies / Guideline / Prognostic_studies Aspecto: Implementation_research Límite: Female / Humans / Pregnancy País/Región como asunto: America do norte Idioma: En Revista: J Case Manag Asunto de la revista: ENFERMAGEM Año: 1997 Tipo del documento: Article País de afiliación: Estados Unidos Pais de publicación: Estados Unidos