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

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

7 iors to formulate a contextually appropriate care plan.

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

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

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

11 rhead in their Medicare and Medicaid managed-care plans.

12 ation, explicit guidelines, and survivorship care plans.

13 erminates of health to inform individualized care plans.

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

15 ance of power between physicians and managed care plans.

16 g Medicare beneficiaries enrolled in managed-care plans.

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

18 ons and factor costs into the formulation of care plans.

19 porate organ donation into their end-of-life care plans.

20 ust be included in clinical and survivorship care plans.

21 tting up goals and developing individualised care plans.

22 regions and jurisdictions may inform health-care planning.

23 rm future preoperative counseling and health care planning.

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

25 nagement, monitoring, education, and advance care planning.

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

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

28 care underpins a growing interest in advance care planning.

29 alth during adolescence is needed for health care planning.

30 iverse sample of homeless persons in advance care planning.

31 mote more accurate and comprehensive advance care planning.

32 al physician-patient information sharing and care planning.

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

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

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

36 lationship were associated with more advance care planning.

37 milies more than their physicians in advance care planning.

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

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

40 expected disease duration and may help with care planning.

41 ranging from clinical study design to health care planning.

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

43 ting postoperative expectations, and advance care planning.

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

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

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

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

48 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%

49 Parents who reported advance care planning (65%) were more likely to be prepared for

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

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

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

53 Advanced care planning (ACP) has the potential to improve outcome

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 Advance care planning (ACP) supports individuals to define, disc

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

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

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

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

63 hat helps pregnant patients understand their care plan and anticipate indirect costs can promote cost

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

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

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

67 re planning and to determine whether advance care planning and assessment of specific family consider

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

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

70 (> 80%) and perceived that improved advance care planning and communication training would be the mo

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

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

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

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

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

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

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

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

79 ough observational studies show that advance care planning and palliative care interventions are asso

80 In this context, advance care planning and palliative care interventions designed

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

82 have important implications for survivorship care planning and patient education.

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

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

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

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

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

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

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

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

91 to evaluate parental preferences for advance care planning and to determine whether advance care plan

92 cognitive impairment are highly relevant for care planning and to select patients for treatment when

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

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

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

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

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

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

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

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

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

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

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

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

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

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

107 and nonspecialist end-of-life care, advance care planning, and quality of care in the last year of l

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

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

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

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

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

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

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

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

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

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

118 tant implications for patient counseling and care planning, as well as a potential bearing on cost ef

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

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

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

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

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

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

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

126 Health care plans can positively influence costs and quality by

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

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

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

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

131 No change in care plan concordance or resource utilization.

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

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

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

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

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

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

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

139 11 primary articles with a range of advance care planning definitions and of variable quality were i

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

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

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

143 r wishes and increased completion of advance care planning documents but quality of primary research

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

145 plex chronic conditions highly value advance care planning, early in the illness course.

146 Advance care planning enabled families to understand and honor t

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

148 se findings support the relevance of advance care planning, even for this relatively healthy segment

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

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

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

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

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

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

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

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

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

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

159 Care planning for people living with dementia and a long

160 n-making capacity is key to optimize advance care planning for people with dementia and their carers.

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

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

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

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

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

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

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

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

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

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

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

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

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

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

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

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

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

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

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

180 surveillance are needed to improve clinical care, plan health systems approaches, and address AMR.

181 Advance care planning honors patients' goals and preferences for

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

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

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

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

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

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

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

189 ther this reflects a greater lack of advance care planning in the nephrology community, as well as a

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

191 te strategies to ensure high-quality advance care planning including specific assessment of family go

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

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

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

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

196 Review, an early and sustainable preventive care plan is described for cardiometabolic-based chronic

197 Advance care planning is acceptable for people with dementia and

198 Importantly, advance care planning is associated with improved parent-reporte

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

200 Advance care planning is completed and activated.

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

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

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

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

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

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

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

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

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

210 ults with complex chronic conditions advance care planning may be a vital component of optimal care.

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

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

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

214 Managed care plan members provide a population for analysis that

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

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

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

218 ogical support (n = 11), and assistance with care planning (n = 7).

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

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

221 The impact of advance care planning on end-of-life outcomes for children, adol

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

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

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

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

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

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

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

229 Advance care planning outcomes research has previously focused o

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

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

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

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

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

235 cture when designing models to inform health care planning, predict community outcomes, or identify p

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

237 frequently report feeling excluded from the care planning process.

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

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

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

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

242 Advance care planning responds to these needs.

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

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

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

246 ary care providers (PCPs) had a survivorship care plan (SCP).

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

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

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

250 Survivorship care planning should involve discussions between provide

251 Advance care planning should take into account patients' attitud

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

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

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

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

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

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

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

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

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

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

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

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

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

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

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

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

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

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

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

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

272 ations: 1) institutions should offer advance care planning to prevent patients at high risk for becom

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

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

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

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

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

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

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

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

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

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

283 Advance care planning was associated with decreased hospitalizat

284 Interdisciplinary care planning was guided by a family communication recor

285 rate) and all parents reported that advance care planning was important, with a majority (70%) endor

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

287 pecific family considerations during advance care planning were associated with differences in parent

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

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

290 Notably, advance care planning which included specific assessment of fami

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

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

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

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

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

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

297 % CI, 1.22 to 2.44) and discuss survivorship care planning with survivors (OR, 2.02; 95% CI, 1.51 to

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

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

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