Accountable Care Organizations during Covid-19: Routine care for older adults with multiple chronic conditions.


Journal

Healthcare (Amsterdam, Netherlands)
ISSN: 2213-0772
Titre abrégé: Healthc (Amst)
Pays: Netherlands
ID NLM: 101622189

Informations de publication

Date de publication:
Mar 2021
Historique:
received: 15 08 2020
revised: 25 11 2020
accepted: 11 12 2020
pubmed: 20 12 2020
medline: 18 2 2021
entrez: 19 12 2020
Statut: ppublish

Résumé

The COVID-19 pandemic threatens the health and well-being of older adults with multiple chronic conditions. To date, limited information exists about how Accountable Care Organizations (ACOs) are adapting to manage these patients. We surveyed 78 Medicare ACOs about their concerns for these patients during the pandemic and strategies they are employing to address them. ACOs expressed major concerns about disruptions to necessary care for this population, including the accessibility of social services and long-term care services. While certain strategies like virtual primary and specialty care visits were being used by nearly all ACOs, other services such as virtual social services, home medication delivery, and remote lab monitoring were far less commonly accessible. ACOs expressed that support for telehealth services, investment in remote monitoring capabilities, and funding for new, targeted care innovation initiatives would help them better care for vulnerable patients during this pandemic.

Identifiants

pubmed: 33340801
pii: S2213-0764(20)30110-X
doi: 10.1016/j.hjdsi.2020.100511
pmc: PMC7832775
pii:
doi:

Types de publication

Journal Article

Langues

eng

Sous-ensembles de citation

IM

Pagination

100511

Informations de copyright

Copyright © 2020 Elsevier Inc. All rights reserved.

Auteurs

Adam L Beckman (AL)

Harvard Medical School, Department of Medicine, Boston, MA, USA; Harvard Business School, Boston, MA, USA.

Robert E Mechanic (RE)

Institute for Accountable Care, Washington DC and Brandeis University Heller School of Social Policy and Management, Waltham, MA, USA.

Tanya B Shah (TB)

The Commonwealth Fund, New York, NY, USA.

Jose F Figueroa (JF)

Harvard T.H. Chan School of Public Health, Department of Health Policy & Management, Boston, MA, USA; Brigham and Women's Hospital, Department of Medicine, Division of General Internal Medicine, Harvard Medical School, Boston, MA, USA. Electronic address: jfigueroa@hsph.harvard.edu.

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Classifications MeSH