본문 바로가기
HOME> 논문 > 논문 검색상세

논문 상세정보

Nursing outlook v.65 no.6, 2017년, pp.737 - 745   SCIE SSCI
본 등재정보는 저널의 등재정보를 참고하여 보여주는 베타서비스로 정확한 논문의 등재여부는 등재기관에 확인하시기 바랍니다.

Alternative payment models lead to strategic care coordination workforce investments

Erikson, Clese E. (Health Workforce Research Center, The George Washington University, Washington, DC ) ; Pittman, Patricia (Health Policy and Management, The George Washington University, Washington, DC ) ; LaFrance, Alicia (Healthforce Center, Philip R. Lee Institute for Health Policy Studies, University of California, San Francisco, San Francisco, CA ) ; Chapman, Susan A. (UCSF School of Nursing, Department of Social & Behavioral Sciences, University of California, San Francisco, San Francisco, CA ) ;
  • 초록  

    Abstract Background Care coordination is generally viewed as a key to success for health systems seeking to adapt to a range of new value-based payment policies. Purpose This study explores care coordination staffing in four health systems participating in new payment models, including Medicaid payment reform and Accountable Care Organizations. Methods Comparative case study design is used to describe models of care coordination. Analysis of 43 semi-structured interviews with leadership, clinicians, and care coordination staff at four health systems engaged in value-based contracts. Discussion Each of the sites engaged in significant task shifting of low-complexity care coordination activities to licensed practical nurses, medical assistants, and other unlicensed personnel freeing up registered nurses and social workers for more complex patients. Few have care coordination experience, requiring a significant investment in on-the-job training. Conclusion Payment reform is leading to a greater investment in the care coordination workforce. However, demonstrating the return on investment remains a challenge. Highlights Value-based payment is leading to enhanced care coordination staffing. Sites are task shifting low-complexity care coordination to unlicensed staff. Important care coordination education gaps necessitate in-depth on-the-job training. Demonstrating the return on investment of care coordination staffing remains a challenge.


  • 주제어

    Care management .   Workforce .   Payment reform.  

 활용도 분석

  • 상세보기

    amChart 영역
  • 원문보기

    amChart 영역

원문보기

무료다운로드
  • 원문이 없습니다.

유료 다운로드의 경우 해당 사이트의 정책에 따라 신규 회원가입, 로그인, 유료 구매 등이 필요할 수 있습니다. 해당 사이트에서 발생하는 귀하의 모든 정보활동은 NDSL의 서비스 정책과 무관합니다.

원문복사신청을 하시면, 일부 해외 인쇄학술지의 경우 외국학술지지원센터(FRIC)에서
무료 원문복사 서비스를 제공합니다.

NDSL에서는 해당 원문을 복사서비스하고 있습니다. 위의 원문복사신청 또는 장바구니 담기를 통하여 원문복사서비스 이용이 가능합니다.

이 논문과 함께 출판된 논문 + 더보기