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El. knyga: Integrating Health Care and Social Services for People with Serious Illness: Proceedings of a Workshop

  • Formatas: 98 pages
  • Išleidimo metai: 29-Mar-2019
  • Leidėjas: National Academies Press
  • Kalba: eng
  • ISBN-13: 9780309488174
Kitos knygos pagal šią temą:
  • Formatas: 98 pages
  • Išleidimo metai: 29-Mar-2019
  • Leidėjas: National Academies Press
  • Kalba: eng
  • ISBN-13: 9780309488174
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A growing body of research indicates that social determinants of health have a significant impact on health care utilization and outcomes. Researchers and policymakers in the United States have spent decades exploring and discussing approaches to integrating health care and social services. While no nation has a truly integrated system, many other industrialized nations invest more heavily in social services than the United States, and are more effective in integrating these services with health care. Integrating health care and social services, such as accessible housing, meals and nutrition services, transportation, and caregiver training, is particularly important for those facing serious illness who typically encounter multiple chronic conditions, pain and other symptoms, functional dependency, frailty, and significant family caregiver needs.





In an effort to better understand and facilitate discussions about the challenges and opportunities related to integrating health care and social services for people with serious illness, the National Academies of Sciences, Engineering, and Medicine held a full-day public workshop on July 19, 2018 in Washington, DC. The workshop featured a broad range of experts and stakeholders including researchers, policy analysts, patient and family caregiving advocates, and representatives of federal agencies. This publication summarizes the presentations and discussions from the workshop.

Table of Contents



Front Matter Proceedings of a Workshop Appendix A: Statement of Task Appendix B: Workshop Agenda
Acronyms and Abbreviations xix
Proceedings of a Workshop
1(1)
Introduction
1(5)
Organization of the Workshop and Proceedings
5(1)
Patient and Family Caregiver Perspective
6(8)
Framing the Issues of Integrating Health Care and Social Services for People with Serious Illness: Gaps, Challenges, and Opportunities
14(12)
Funding Investments in Social Services
15(5)
Building a Strong Social Support Infrastructure
20(4)
Discussion
24(2)
Exploring the Key Role and Unique Needs of Caregivers
26(20)
Caregiving for the Seriously Ill: Overview and Impacts
27(4)
The Experience of Caregiving for People with Serious Illness
31(2)
Policy Considerations
33(3)
Caring Across Generations
36(3)
Moving Toward a More Supportive Care Delivery Paradigm
39(4)
Discussion
43(3)
Innovative Partnerships and Collaborations for Integrating Services
46(16)
Program of All-Inclusive Care for the Elderly (PACE)
46(3)
Building a Bridge to Better Outcomes
49(4)
Palliative Care and Social Services for the Most Vulnerable
53(3)
Community Aging in Place---Advancing Better Living for Elders (CAPABLE)
56(3)
Discussion
59(3)
Exploring Potential Policy Challenges and Opportunities for Integrating Health Care and Social Services Nationwide
62(7)
Discussion
66(2)
Forging a Way Forward
68(1)
Closing Remarks
69(1)
References
69(4)
Appendix A Statement of Task 73(2)
Appendix B Workshop Agenda 75