کد مقاله کد نشریه سال انتشار مقاله انگلیسی ترجمه فارسی نسخه تمام متن
2664245 1140629 2015 14 صفحه PDF سفارش دهید دانلود کنید
عنوان انگلیسی مقاله ISI
Incorporating the Six Core Elements of Health Care Transition Into a Medicaid Managed Care Plan: Lessons Learned From a Pilot Project
ترجمه فارسی عنوان
ترکیب عناصر شش هسته انتقال مراقبت سلامت در برنامه مراقبت مدیریت شده خدمات درمانی: درس‌های آموخته شده از یک پروژه آزمایشی
کلمات کلیدی
گذار؛ بزرگسالان جوان؛ شرایط مزمن؛ خدمات درمانی؛ مراقبت مدیریت شده؛ مدیریت مراقبت پرستار
موضوعات مرتبط
علوم پزشکی و سلامت پزشکی و دندانپزشکی پریناتولوژی (پزشکی مادر و جنین)، طب اطفال و بهداشت کودک
چکیده انگلیسی


• The Six Core Elements were effectively customized for use in a Medicaid health plan.
• Completion of transition elements was high among plan's young adult pilot group.
• Most young adults were unprepared to manage their own care.
• Transfer of care was most difficult and required extensive care manager outreach.
• Starting transition planning before age 18 is essential.

This pediatric-to-adult health care transition pilot project describes the process and results of incorporating the “Six Core Elements of Health Care Transition (2.0)" into a Medicaid managed care plan with a group of 35 18–23 year olds who have chronic mental health, developmental, and complex medical conditions. The pilot project demonstrated an effective approach for customizing and delivering recommended transition services. At the start of the 18-month project, the Medicaid plan was at the basic level (1) of transition implementation of the Six Core Elements with no transition policy, member transition readiness assessment results, health care transition plans of care, updated medical summaries, transfer package for the adult-focused provider, and assurance of transfer completion and consumer feedback. At the conclusion of the pilot project, the plan scored at level 3 on each core element. The primary reason for not scoring at the highest level (4) was because the transition elements have not been incorporated into services for all enrollees within the plan. Future efforts in managed care will benefit from starting the transition process much earlier (ages 12–14), expanding the role of nurse care managers and participating pediatric and adult-focused clinicians in transition, and offering payment incentives to clinicians to implement the Six Core Elements of Health Care Transition.

ناشر
Database: Elsevier - ScienceDirect (ساینس دایرکت)
Journal: Journal of Pediatric Nursing - Volume 30, Issue 5, September–October 2015, Pages 700–713
نویسندگان
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