By including the precepts of primary care and the medical home in the delivery of services, managed care can be instrumental in increasing access to a full range of health care services and clinicians. If not designed and administered carefully, managed care plans result in underutilization of appropriate services and reduced quality of care. Therefore, the American Academy of Pediatrics urges ...

 This study separates the more predictable health care expenses in retirement for older Americans (ages 65 and above) from the less predictable ones. Based on utilization patterns and expenses, doctor visits, dentist visits and usage of prescription drugs are categorized as recurring health care services. Overnight hospital stays, overnight nursing-home stays, outpatient surgery, home health c...

background: increasing hospital costs and its social and cultural problems has led to the idea of providing healthcare services at home. because of infrastructural and implementation problems, providing healthcare at home in iran has not been initiated yet. therefore, this study set out to elaborate the need for a comprehensive system in order to provide this service in iran. methods: all artic...

UNLABELLED BACKGROUND The need of home care services is becoming an increasingly common scenario. These cares are mainly provided by the dependents' relatives specifically, by the women part of the family. This situation might take years, decreasing the physical and psychological health of the caregiver. In Spain, the Act of Promotion of Personal Autonomy and Care for dependent persons, guar...

Driven by fiscal pressures in the 1990s, Canada’s provincial Medicare systems cut inpatient care, expanded community services, and consolidated hospitals under regional authorities in nine of ten provinces. Public confidence has been badly shaken by the transition. No province has successfully integrated services across the continuum of care. Home care and prescription drug coverage vary from p...

Managed care for mental health services, which began in the private, commercial sector, has spread over the past few years to the public mental health sector as well. Recently, states have begun considering whether to include the forensic population within their privatized managed care systems. This article explores some of the complexities and special challenges unique to forensic services and...

It is accepted that home care systems need to be customised and personalised for individual person. They also need to evolve over time. Besides, conflicts may occur between care services. We propose applying policy-based management in home care systems to facilitate the delivery and evolution of home care systems, and help the detection and resolution of conflicts in these systems. Motivation I...

BACKGROUND Heart failure (HF) is a major cause of hospitalization and death in the aging population around the world. Home care utilization is associated with improved survival for the patients with HF, and varies by ethno-culture. The purpose of this study was to investigate the difference in hospital readmission rate and mortality between Asian and other Canadian HF patients. METHODS HF pat...

Restorative home-care services, or re-ablement home-care services as they are now known in the UK, aim to assist older individuals who are experiencing difficulties in everyday living to optimise their functioning and reduce their need for ongoing home care. Until recently, the effectiveness of restorative home-care services had only been investigated in terms of singular outcomes such as lengt...