View clinical trials related to Managed Care Program.
Filter by:Home care is the assistance provided at home to those who can not travel to their Health Center. There are multiple studies on models of home care and many discrepancies about the impact that preventive home visits can have. Hypothesis: home care is expected to be better if performed by a team dedicated exclusively to the home patient, than to the traditional model, where the patient is assisted by the team that cares for the rest of the community. Goals: Main: determine the difference in median cumulative days of hospital admission in 12 months. Secondaries: - results in health - in health experience in efficiency Methodology: Quasi-experimental study of two years duration. All the subjects included in the Home Care Program and that meet the inclusion and exclusion criteria are studied. The care team will provide the informed consent and information sheet to the patient and clinical scales at the beginning and end of the study. Researchers will be responsible for the collection of data that they will anonymize and guard. Statistical analysis: The analyzes will be calculated with the statistical package SPSS version 21 Expected results: hospital admissions (25%) and cumulative days by admission and patient by 65% are expected to improve in the model under study. Applicability and relevance: the trend towards a greater aging of the population makes it necessary to study models of care that allow us to detect which can be beneficial to the population and feasible in our current context.
This study will expand and evaluate an existing pilot program to improve care for frequent users of acute emergency and inpatient services by providing care coordination and management for eligible San Francisco Health Plan members. SF Health Plan's Community-Based Care Management pilot program ("Program") known as "CareSupport" serves vulnerable SF Health Plan members who are high utilizers of hospital inpatient and emergency departments and at extremely high risk for mortality and morbidity due to factors such as housing instability, mental illness, and addiction. Care managers, called community coordinators, are trained bachelor-level social workers or outreach workers and each have a panel of 30-35 members who they directly engage in the community where the members tend to live or congregate (shelters, bus stops, coffee shops, community agencies, and by cell phone) to help them improve their health and navigate through the health care and social services systems. The number of San Francisco Health Plan members who would be eligible for Care Support services far outstrips the capacity the San Francisco Health Plan to provide these additional services, and the investigators will thus evaluate the intervention using a randomized trial design.