Working Paper Review Version 1 This version is not peer-reviewed

Characteristics of Future Models of Integrated Outpatient Care

Version 1 : Received: 1 April 2019 / Approved: 2 April 2019 / Online: 2 April 2019 (12:32:10 CEST)

A peer-reviewed article of this Preprint also exists.

Leviton, A.; Oppenheimer, J.; Chiujdea, M.; Antonetty, A.; Ojo, O.W.; Garcia, S.; Weas, S.; Fleegler, E.; Chan, E.; Loddenkemper, T. Characteristics of Future Models of Integrated Outpatient Care. Healthcare 2019, 7, 65. Leviton, A.; Oppenheimer, J.; Chiujdea, M.; Antonetty, A.; Ojo, O.W.; Garcia, S.; Weas, S.; Fleegler, E.; Chan, E.; Loddenkemper, T. Characteristics of Future Models of Integrated Outpatient Care. Healthcare 2019, 7, 65.

Journal reference: Healthcare 2019, 7, 65
DOI: 10.3390/healthcare7020065

Abstract

Replacement of fee-for-service with capitation arrangements, forces physicians and institutions to minimize health care costs, while maintaining high-quality care. In this report we describe how patients, their families (and caregivers) can work with members of the medical care team to achieve these twin goals of maintaining (and perhaps improving) high-quality care and minimizing costs. We describe how increased self-management enables patients and their families/caregivers to provide electronic patient-reported outcomes (i.e., symptoms, events) (ePROs) as frequently as the patient or the medical care team consider appropriate. These capabilities also allow greater reliance on the use of mobile technologies (mHealth) to provide ongoing assessments of physiologic measurements/phenomena. Remote surveillance of these communications allows longer intervals between (fewer) visits of patients to the medical-care team when this is appropriate and earlier interventions when that is appropriate. Systems are now available that alert medical care providers to situations when interventions might be needed.

Subject Areas

consumer health informatics; E-health; mobile Apps; outpatient follow-up; patient portal; patient-reported outcomes

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