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008			140901s2014 xxu| s |||| 0|eng d
020			_a9781493904075
024	7		_a10.1007/978-1-4939-0407-5 _2doi
040			_dES-MaUEC
050		4	_aRC952.5 _bM448 2014
245	1	0	_aMeeting the Needs of Older Adults with Serious Illness : _bChallenges and Opportunities in the Age of Health Care Reform _cedited by Amy S. Kelley, Diane E. Meier.
260			_aNew York, NY _bSpringer International Publishing _bSpringer International Publishing _c2014
300			_a1 recurso en línea (XIII, 240 p.) _b17 ilustraciones, 16 ilustraciones en color
336			_aTexto (visual) _btxt _2rdacontent
337			_aelectrónico _bc _2rdamedia
338			_arecurso electrónico _bcr _2rdacarrier
490	0		_aAging Medicine
505	0		_aWhen More is Less: Overuse of medical services harms patients -- Disparities in Access to Palliative Care -- Family Caregiving and Palliative Care: Aligning Theory, Practice, and Policy -- This is Your Life: Achieving a Comprehensive, Person-Centered Model of Care at the Intersection of Policy, Politics, and Private Sector Innovation -- Hospice and Health Care Reform: What is the Optimal Path? -- Palliative Care in the Long Term Care Setting -- Meeting the Needs of Older Adults with Serious Illness: Challenges and Opportunities in the Age of Health Care Reform -- Palliative careâ€{u3829}mpact on utilization and costs: Implications for health services research and policy -- Long-term Services and Supports: A Necessary Complement to Palliative Care -- The Manifest Destinies of Managed Care and Palliative Care -- Models of Care Delivery and Coordination: Palliative Care Integration within Accountable Care Organizations -- Implementing a Care Planning System: How to Fix the Most Pervasive Errors in Health Care -- Igniting Action to Integrate Palliative Care in our US Health System: The Role of Disease Specific Advocacy Groups A cancer advocacy case study -- What do you mean you donâ€{u4821}lso offer palliative care? Effective public engagement to harness demand to improve care for serious illness -- Research Priorities in Palliative Care for Older Adults -- Medical and Nursing Education & Training.
520			_aMeeting the Needs of Older Adults with Serious Illness: Challenges and Opportunities in the Age of Health Care Reform provides an introduction to the principles of palliative care, describes current models of delivering palliative care across care settings, and examines opportunities in the setting of healthcare policy reform for palliative care to improve outcomes for patients, families and healthcare institutions. The United States is currently facing a crisis in health care marked by unsustainable spending and quality that is poor relative to international benchmarks. Yet this is also a critical time of opportunity. Because of its focus on quality of care, the Affordable Care Act is poised to expand access to palliative care services for the sickest, most vulnerable, and therefore most costly, 5% of patients- a small group who nonetheless drive about 50% of all healthcare spending. Palliative care is specialized medical care for people with serious illnesses. It focuses on providing patients with relief from the symptoms, pain, and stress of a serious illnessâ€{u7A21}tever the diagnosis or stage of illness. The goal is to improve quality of life for both the patient and the family. Research has demonstrated palliative careâ€{u3830}ositive impact on health care value. Patients (and family caregivers) receiving palliative care experience improved quality of life, better symptom management, lower rates of depression and anxiety, and improved survival. Because patient and family needs are met, crises are prevented, thereby directly reducing need for emergency department and hospital use and their associated costs. An epiphenomenon of better quality of care, the lower costs associated with palliative care have been observed in multiple studies. Meeting the Needs of Older Adults with Serious Illness: Challenges and Opportunities in the Age of Health Care Reform, a roadmap for effective policy and program design, brings together expert clinicians, researchers and policy leaders, who tackle key areas where real-world policy options to improve access to quality palliative care could have a substantial role in improving value.
650		7	_2embne _9140743 _aGeriatría
700	1		_aKelley, Amy S. _eeditor literario _0Local _988311
700	1		_aMeier, Diane E _eeditor literario _988312 _0Local
856	4	0	_uhttps://go.openathens.net/redirector/universidadeuropea.es?url=https://link.springer.com/book/10.1007/978-1-4939-0407-5 _zAcceso a este recurso digital (usuarios Universidad Europea de Madrid)
907			_a.b12880279 _b10-10-17 _c11-11-15
942			_2lcc _cLE
945			_aRC952.5 M448 2014 EB _g1 _ieBOOK _j0 _lmae _o- _pEUR0.00 _q- _r- _sb _t15 _u0 _v0 _w0 _x0 _y.i11560095 _z06-04-17
988			_aEBSPRINGER
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