Scalable principles of community-based high-value care for seriously ill individuals: Diamonds in the rough

Ravi B. Parikh, Brynn Bowman, Constance Dahlin, Jeanne S. Twohig, Diane E. Meier

Research output: Contribution to journalArticlepeer-review

3 Scopus citations

Abstract

Early, integrated palliative care has been shown to improve quality of life and reduce utilization in both inpatient and outpatient settings. As health systems shift to risk-based payment structures, palliative care will play an increasing role in improving value of care outside of the hospital. Based on successful models of community-based palliative care, we identify six principles – interdisciplinary team-based care; 24/7 access and responsiveness; concurrent palliative care with disease-directed treatment; targeting services to high-risk patients; integrated medical and social supports; and caregiver support – that are widely implemented because of their impact on improving value for seriously ill individuals.

Original languageEnglish
Pages (from-to)12-16
Number of pages5
JournalHealthcare
Volume5
Issue number1-2
DOIs
StatePublished - Mar 2017

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