ライフサイエンスコーパス: care plan

1 equent turnover/handover" and "variations in care plan").

2 xpectations," and "timeliness of end-of-life care planning").

3 are services for enrollees (Medicaid managed care plans).

4 support, preference for heroics, and advance care planning).

5 iors to formulate a contextually appropriate care plan.

6 husiastic support for receipt of a follow-up care plan.

7 providers of services to members of a health care plan.

8 tric rheumatologist outside of one's managed care plan.

9 he community, such as the board of a managed care plan.

10 d by conflict about a patient's prognosis or care plan.

11 d in 4 geographic areas and 1 managed health care plan.

12 sis for children aged <18 years in a managed care plan.

13 ation, explicit guidelines, and survivorship care plans.

14 ust be included in clinical and survivorship care plans.

15 erapies, and when to make formal end-of-life care plans.

16 ance of power between physicians and managed care plans.

17 g Medicare beneficiaries enrolled in managed-care plans.

18 to patients who are not enrolled in managed care plans.

19 idually negotiating and dealing with managed care plans.

20 y of both enrollees and providers in managed care plans.

21 s in the context of emerging national health care plans.

22 genda for delineating the outcomes of health care plans.

23 tting up goals and developing individualised care plans.

24 ticipants (n = 43) had not discussed advance care planning.

25 cognitive decline, and need for end-of-life care planning.

26 care underpins a growing interest in advance care planning.

27 alth during adolescence is needed for health care planning.

28 iverse sample of homeless persons in advance care planning.

29 mote more accurate and comprehensive advance care planning.

30 ranging from clinical study design to health care planning.

31 al physician-patient information sharing and care planning.

32 a patient's goals of care, and continuity of care planning.

33 ort, QOL, treatment preferences, and advance care planning.

34 fe (QOL), treatment preferences, and advance care planning.

35 lationship were associated with more advance care planning.

36 milies more than their physicians in advance care planning.

37 ision making and documents to aid in advance care planning.

38 information on HIV-1 infection duration for care planning.

39 t among older men, creating needs for health care planning.

40 e needs of caregivers, and timing of advance care planning.

41 ting postoperative expectations, and advance care planning.

42 expected disease duration and may help with care planning.

43 rm future preoperative counseling and health care planning.

44 h related to decision aids for adult advance care planning.

45 years old) enrolled in an integrated health care plan (1993-2007), childhood AIS cases (n = 126) wer

46 d from a national claims database of managed care plans (1998-2005).

47 reas: 1) physician relationship with managed care plans; 2) number of managed care contracts; 3) brea

48 iatric discharge care, (2) develop discharge care plans, (3) monitor discharge progress, and (4) fina

49 PCPs rated medication (4.65+/-0.74), patient care plan (4.43+/-0.87), and clinical status (4.33+/-0.9

50 I, 1.11 to 1.42]), and documentation of self-care plans (48.4% for TBC vs 8.7% for TPM; OR, 5.59 [95%

51 nstrated better agreement with the "standard care plan" (82 +/- 17% [S] and 86 +/- 16% [L]) than did

52 re, supporting the need to make survivorship care planning a standard component in cancer management.

53 th services costs were measured using health care plan accounting records.

54 Advance care planning (ACP) is increasingly implemented in oncol

55 Engagement in advance care planning (ACP) is viewed as a way to prepare for po

56 Advance care planning (ACP) may prevent end-of-life (EOL) care t

57 Advance care planning (ACP) prepares patients and their families

58 se in pain, dyspnea, depression, and advance care planning (ACP), and to identify research gaps.

59 ted racial and ethnic differences in advance care planning (ACP), we know little about why these diff

60 Since 1997, all managed-care plans administered by Medicare have reported on qua

61 agreement between the prescribed respiratory care plan and an algorithm-based "standard care plan" ge

62 ws the elements of the proposed survivorship care plan and discusses areas of research and developmen

63 home clinicians did not complete an advance care plan and his do-not-resuscitate order did not accom

64 here were no differences between the managed care plan and the unmanaged fee-for-service plan in adhe

65 ervices such as patient registries, explicit care planning and care coordination, planned co-manageme

66 al treatment are felt to be improved advance care planning and communication training for healthcare

67 (> 80%) and perceived that improved advance care planning and communication training would be the mo

68 End-of-life care planning and decision making by health care profess

69 with family, encouraging appropriate advance care planning and decision making, supporting home care,

70 pies have made decision making about advance care planning and end-of-life issues more complex and el

71 er communication issues ("paucity of advance care planning and goals-of-care designation," "mismatche

72 e base-case analysis, if in-hospital advance care planning and ICU-based palliative care consultation

73 fact-based information to encourage advance care planning and informed choice.

74 ns: comprehensive assessment, evidence-based care planning and monitoring, promotion of patients' and

75 In-hospital advance care planning and palliative care consultation have the

76 iew to answer three questions: 1) Do advance care planning and palliative care interventions lead to

77 For health care planning and policy, it is important to determine w

78 Our findings may guide health care planning and prompt new research directions.

79 Our findings may guide health care planning and prompt new studies.

80 e children for future considerations such as care planning and reproductive decision-making.

81 are poorly understood, thus affecting health care planning and research.

82 by the use of the ambassadors, comprehensive care planning and sharing with the family within 24-48 h

83 clinician patient communication and advance care planning and that payers and care delivery organiza

84 for early diagnosis, disease management and care planning and theoretical implications for our under

85 By implementing survivorship care plans and directing their patients to survivorship

86 atients and for comparing care across health care plans and geographic areas based on claims data.

87 els operate in the relations between managed care plans and other groups such as employers, governmen

88 the political model operates within managed care plans and other integrated health delivery networks

89 Of the 2500 enrollees in managed care plans and the 600 other beneficiaries in convention

90 Physicians involved with managed care plans and those who practice in areas with high man

91 These stages include supportive care, planning and execution of general facial reanimati

92 n from oncology-based care (eg, survivorship care plans), and not as active members of the cancer sur

93 view health information, participate in the care plan, and communicate with providers.

94 CU safety checklist, tools to develop shared care plan, and messaging platform.

95 sion making about treatment options, advance care planning, and attention to physical, emotional, spi

96 m pursues rationing, more effective advanced care planning, and augmented capacity to care for dying

97 d participant demographics, previous advance care planning, and decision control preferences.

98 al and religious/spiritual measures, advance care planning, and end-of-life treatment preferences.

99 d communication, medication safety, advanced care planning, and enhanced training to manage medical c

100 ptive studies include trend analysis, health-care planning, and hypothesis generation.

101 ciated with greater spiritual need, need for care planning, and poorer patient and family insight (Sp

102 led to changes in patterns of care, advanced care planning, and symptom control among children with c

103 ghout the disease course, sensitive advanced care planning, and timely patient-centred end-of-life ca

104 ociety at large, including the media, health care plans, and the government.

105 the year 2000, a quality measure for health care plans, and the subject of evidence-based clinical g

106 the patient and their family, and a positive care plan are prerequisites for good clinical management

107 mental health professionals' experiences of care planning are lacking, limiting our understanding of

108 ings raise the possibility that some managed care plans are more successful at facilitating or encour

109 ends, explain why older taxonomies of health care plans are not adequate, and present a new framework

110 tionately enrolled in fee-for-service health care plans as compared to health maintenance organizatio

111 Emergent themes identified care-planning as a meaningful platform for user/carer in

112 ssion are multifactorial and a comprehensive care plan based on the Minimum Data Set guides the multi

113 th vitrectomy among a large group of managed care plan beneficiaries throughout the United States.

114 age breast cancer in 14 US commercial health care plans between 2008 and 2013.

115 gists have embraced the use of some mandated care plans, but many such opportunities have been reject

116 care acknowledged the value of survivorship care plans, but were not inclined to complete them becau

117 tion can be complex, requiring collaborative care planning by members of the healthcare team.

118 Databases at health care plans can be used to address public health issues a

119 Health care plans can positively influence costs and quality by

120 admission, and ongoing meetings triggered by care plan changes.

121 of a video-assisted intervention and advance care planning checklist versus a verbal description in 2

122 vels of care, CPR/intubation, and an advance care planning checklist.

123 d complement information provided in advance care plans completed prior to, or at the point of admiss

124 No change in care plan concordance or resource utilization.

125 luded patient and care partner satisfaction, care plan concordance, and resource utilization.

126 These findings are supportive of advance care planning consistent with the preferences of patient

127 HMO), and enrollment in all types of managed care plans continues to grow.

128 fear of inaction, and limitations in advance care planning-contribute to communication challenges and

129 RCT) of treatment summaries and survivorship care plans coupled with a nurse counseling session, prim

130 rative claims data from 14 commercial health care plans covering 7.4% of US adult women in 2013, we c

131 was carried out to assess how a survivorship care plan created by oncologists could improve the quali

132 tored processes for best practice adherence, care plan creation, and clinician response times to alar

133 healthcare providers through a survivorship care plan, developing an evidence base to better support

134 Permanente Northern California (KPNC) health care plan, diagnosed with at least 1 NMSC from 1996-2008

135 l needs, preference for heroics, and advance care planning (do-not-resuscitate order, living will, an

136 tribution of modeling to inform local health-care planning during an outbreak.

137 Advance care planning enabled families to understand and honor t

138 on and discussion of individualized survivor care plans even at initial cancer diagnosis.

139 nclude further research, training of advance care planning facilitators, dissemination and access, an

140 Future Care Planning (FCP) rarely occurs in patients with heart

141 ere enrolled in a United States (US)-managed care plan for >/=7 years between 2001 and 2012 and newly

142 Massachusetts launched a state-wide managed care plan for all Medicaid beneficiaries.

143 n 50 years or older enrolled in a US managed-care plan for at least 4 years in which enrollees had at

144 a cancer treatment summary and survivorship care plan for breast cancer survivors, with examples and

145 complete evaluation and allows a customized care plan for each patient.

146 te new immunizations or antibiotics into the care plan for each patient.

147 reatment period and indicated that a written care plan for follow-up would help them improve their su

148 upport tool and patient checklist on advance care planning for patients with heart failure.

149 reduce costs through two mechanisms: advance care planning for patients with life-limiting illness an

150 mportant for targeted region-specific health-care planning for stroke and could inform priorities for

151 on" recommended the creation of survivorship care plans for patients as they complete primary therapy

152 ing the shared decision-making process about care plans for these infants, particularly in centers wi

153 Patient care planning, for subjects in the proactive group, was

154 sion aids as interventions for adult advance care planning found that most are proprietary or not pub

155 exit, defined as the withdrawal of a managed care plan from a state's Medicaid program.

156 for mammography within 174 Medicare managed-care plans from 2001 through 2004.

157 tional integrated claims database of managed care plans from October 1998 to September 2005 (N=475,83

158 tional integrated claims database of managed care plans from October 1998 to September 2005 (N=65,349

159 care orders were preempted by a respiratory care plan generated by the RTCS (n = 71).

160 y care plan and an algorithm-based "standard care plan" generated by an expert therapist who was blin

161 ,965) while enrolled in an integrated health-care plan (Group Health Cooperative; Washington State) w

162 Insurance coverage under a managed care plan had no effect on the magnitude of these total

163 ociated with lower expenditures, and advance care planning had no association.

164 end that discussions about end-of-life (EOL) care planning happen early for patients with incurable c

165 Being able to choose one's health care plan has been shown to increase subsequent patient

166 The traditional objective of advance care planning has been to have patients make treatment d

167 to collectively negotiate fees with managed care plans has been introduced in 10 state legislatures

168 Enrollment in Medicaid managed care plans has increased more than 5-fold in this decade

169 Different perioperative care plans have been recommended to decrease hospital st

170 Advance care planning honors patients' goals and preferences for

171 or elderly Medicare beneficiaries in managed-care plans improved substantially from 1997 to 2003.

172 lifornia, were recruited from a large health care plan in California for a study of menstrual functio

173 e study was done in the context of a managed care plan in one geographic area, it could not assess wh

174 standards presented here for information and care planning in cancer care should be incorporated into

175 n the part of patients, and incorporation of care planning in education and training programs.

176 There is a need for improved advanced care planning in our hospitals, and to confirm our findi

177 ality clinical practices for information and care planning in the context of cancer care as part of t

178 is survey to ascertain the status of advance care planning in this population.

179 ION 5: Clinicians should ensure that advance care planning, including completion of advance directive

180 , and less educated individuals need advance care planning interventions in clinical HIV programs.

181 rting on ICU admissions suggest that advance care planning interventions reduce the relative risk of

182 st cancer treatment summary and survivorship care plan is being recognized as a key component of coor

183 intervention in health care and that advance care planning is best viewed as one component in a serie

184 Advance care planning is completed and activated.

185 demonstrate how the ordinary lack of advance care planning is deleterious for patients who are nearin

186 suggest that extra effort to address advance care planning is needed for these patients.

187 Survivorship care planning is viewed favorably by consumers, nurses,

188 people enrolled in Medicare + Choice managed care plans is far from optimal.

189 Involving users/carers in mental health care-planning is central to international policy initiat

190 pted on philosophical grounds, user-involved care-planning is poorly defined and lacks effective impl

191 Deficits in advance care planning leave many patients and their physicians u

192 Moderate evidence supports advance care planning led by skilled facilitators who engage key

193 e found in long-term medications management, care planning, long-term and complex symptom management,

194 risk for delirium and tailored transitional care planning may help to maximize the functional benefi

195 In California, managed care plans (MCPs) were providing health care to 59% of r

196 commercial populations in 3 types of managed care plans: Medicaid-only plans (serving predominantly M

197 Managed care plan members provide a population for analysis that

198 bout end-of-life care is needed, and advance care planning must be preceded by education about option

199 tute of Medicine report is that survivorship care plans must surpass this and address the chronic eff

200 131) and a survey of a large managed health care plan (n = 214).

201 cohort of all comprehensive Medicaid managed care plans (N = 390) during the interval 2006-2014.

202 tric care from the Kaiser Permanente Medical Care Plan, Northern California Region (KPNC).

203 of palliative care interventions and advance care planning on ICU admission and length of stay.

204 Of the 366 comprehensive Medicaid managed care plans operating prior to 2014, 106 exited Medicaid.

205 e and quality, patients who received advance care planning or palliative care interventions consisten

206 ngs between oncologists and intensivists for care planning (OR, 0.69; 95% CI, 0.52 to 0.91) were asso

207 w-up, exit from the Kaiser Permanente health care plan, or end of study follow-up (December 31, 2010,

208 cantly change their diet, exercise, advanced care planning, or cancer screening behaviors.

209 thors contend that the objective for advance care planning ought to be the preparation of patients an

210 l disabilities included problems in advanced care planning (p=0.0003), adherence to the Mental Capaci

211 hysicians with little involvement in managed care plans (P = .01).

212 ed consistently with improvements in advance care planning, patient and caregiver satisfaction, and l

213 l crisis, assistance with decision making or care planning, patient request for referral, delirium, s

214 During advance care planning, physicians should discuss patients' prefe

215 Decision aids can support the advance care planning process by providing a structured approach

216 frequently report feeling excluded from the care planning process.

217 al and emotional symptom management, advance care planning), provided by primary care and cardiology

218 We discuss the importance of advance care planning, provider-patient communication, and appro

219 asserts that government, purchasers, health care plans, providers, consumers, and researchers must c

220 We argue that managed care plans rather than physicians should be required to

221 behaviours (e.g., assessing pain, developing care plans related to pain management, documenting effec

222 Nearly all managed care plans rely on a physician "gatekeeper" to control u

223 as the case well before the rules of managed care plans required patients to align themselves with a

224 Advance care planning responds to these needs.

225 the same person for support and for advanced care planning roles.

226 ovides them with primary support in advanced care planning roles.

227 t of an automatically generated survivorship care plan (SCP) on patient-reported outcomes in routine

228 reports of provision of written survivorship care plans (SCPs) and discussion of survivorship care re

229 tion of palliation into cancer care, advance care planning, sentinel events as markers for the need t

230 rectives offer only limited benefit, advance care planning should emphasize not the completion of dir

231 Survivorship care planning should involve discussions between provide

232 Advance care planning should take into account patients' attitud

233 Current health care plans should carefully monitor the health outcomes

234 ife, symptom burden, survival, mood, advance care planning, site of death, health care satisfaction,

235 a psychiatric nurse to assist in developing care planning skills.

236 e settings, including innovations in advance care planning, staff training, and systematic changes in

237 e-ranging need for psychosocial, family, and care planning support.

238 y of care should concentrate on survivorship care plans, surveillance tests, respective roles of prim

239 mesis Impact of Symptoms questionnaire and a care plan tailored to their responses.

240 ily members in future discussions of advance care planning than wanted to include physicians (91% com

241 g Medicare beneficiaries enrolled in managed-care plans than among those with fee-for-service coverag

242 s frequently in patients enrolled in managed-care plans than in those with fee-for-service coverage.

243 ata from a large California Medicaid managed care plan that began offering teledermatology as a cover

244 ange, convened to propose a universal health care plan that builds on the strengths of the U.S. healt

245 Domains of information and care planning that are important for high-quality cancer

246 commodation emphasizes the need to negotiate care plans that do not compromise patients' basic intere

247 se results support the need for survivorship care plans that explicitly outline the roles of PCPs and

248 herapy, and intraoperative and postoperative care plans that target optimal outcomes.

249 The most ambitious study of advance care planning, the Study to Understand Prognoses and Pre

250 Including a 5-d postoperative care plan, this protocol takes 7 d to complete.

251 an early stage of development, help patient care planning through personalized medicine and support

252 re converted from a point-of-service managed care plan to a capitation payment plan.

253 Impact of Symptoms questionnaire to tailor a care plan to address women's individual needs was not as

254 red on the basis of whether they adapted the care plan to it.

255 ho are covered only by a catastrophic health care plan to set up a tax-exempt account that they can u

256 ualized treatment summaries and survivorship care plans to patients and their health care providers f

257 sts were more likely to agree that alternate care plans to phase I trial entry had been explained (od

258 orks and whether the process used by managed care plans to select physicians is discriminatory.

259 ledge, this is the first RCT of survivorship care plans to show benefits in clinical outcomes, in thi

260 atutes, or simply used to create appropriate care plans to support caregiving.

261 +) patients, members of an integrated health care plan treated with P/R between January 2002 and June

262 nurses from practice settings where advance care planning typically takes place were surveyed regard

263 both probing for them and addressing them in care plans) varied according to the presenting contextua

264 n RTCS therapist evaluator whose respiratory care plan was based on sign/symptom-based algorithms dra

265 tabase of a large, nationwide managed health care plan was conducted.

266 Interdisciplinary care planning was guided by a family communication recor

267 approximately 800,000 members from 4 managed care plans, we identified patients who had at least 2 am

268 Many interventions to facilitate advance care planning were focused on specific treatment decisio

269 t 85% of their practice revenue from managed care plans were considerably less likely to provide char

270 nary rehabilitation are receptive to advance care planning, which is promoted by education on end-of-

271 treatment in members of an integrated health care plan who are closely monitored.

272 k beneficiaries enrolled in Medicare managed-care plans who were eligible for at least one of nine HE

273 tions about whom patients involve in advance care planning, whom patients would like to include in th

274 nd that physicians discuss end-of-life (EOL) care planning with patients with cancer whose life expec

275 age IV lung or colorectal cancer discuss EOL care planning with physicians before death, many discuss

276 Most patients do not participate in advance care planning with physicians.

277 % CI, 1.22 to 2.44) and discuss survivorship care planning with survivors (OR, 2.02; 95% CI, 1.51 to

278 ercent of patients wanted to discuss advance care planning with their physician.

279 Reviewing care plans with survivors may also reduce patients' requ

280 g bad news, setting treatment goals, advance care planning, withholding or withdrawing therapy, makin