Literature Review Table of Evidence Care Management.

Criteria Article 1 Article 2 Article 3 Article 4 Article 5 Author, Journal (Peer-Reviewed), and Permalink or Working Link to Access Article

 

Donelan, K., Chang, Y., Berrett-Abebe, J., Spetz, J., Auerbach, D. I., Norman, L., & Buerhaus, P. I. (2019). Care management for older adults: The roles of nurses, social workers, and physicians. Health Affairs38(6), 941-949.

https://www.healthaffairs.org/doi/full/10.1377/hlthaff.2019.00030

 

 

Bookey‐Bassett, S., Markle‐Reid, M., Mckey, C. A., & Akhtar‐Danesh, N. (2017). Understanding interprofessional collaboration in the context of chronic disease management for older adults living in communities: a concept analysis. Journal of advanced nursing73(1), 71-84.

https://onlinelibrary.wiley.com/doi/full/10.1111/jan.13162

 

Hastings, S. N., Mahanna, E. P., Berkowitz, T. S., Smith, V. A., Choate, A. L., Hughes, J. M., … & Oddone, E. (2021). Video‐enhanced care management for medically complex older adults with cognitive impairment. Journal of the American Geriatrics Society69(1), 77-84.

https://agsjournals.onlinelibrary.wiley.com/doi/full/10.1111/jgs.16819

 

Mendelson, A., Kondo, K., Damberg, C., Low, A., Motúapuaka, M., Freeman, M., … & Kansagara, D. (2017). The effects of pay-for-performance programs on health, health care use, and processes of care: a systematic review. Annals of internal medicine166(5), 341-353.

https://www.acpjournals.org/doi/full/10.7326/M16-1881

 

Chen, C. C., & Cheng, S. H. (2016). Does pay-for-performance benefit patients with multiple chronic conditions? Evidence from a universal coverage health care system. Health policy and planning31(1), 83-90.

https://academic.oup.com/heapol/article/31/1/83/2363553?login=true

 

Article Title and Year Published

 

Care management for older adults: The roles of nurses, social workers, and physicians.2019 Understanding interprofessional collaboration in the context of chronic disease management for older adults living in communities: a concept analysis. Journal of advanced nursing, 2017 Video‐enhanced care management for medically complex older adults with cognitive impairment. Journal of the American Geriatrics,2018 The effects of pay-for-performance programs on health, health care use, and processes of care: a systematic review. 2017 Does pay-for-performance benefit patients with multiple chronic conditions? Evidence from a universal coverage health care system. Health policy and planning 2016 Research Questions (Qualitative)/Hypothesis (Quantitative), and Purposes/Aim of Study

 

How does practice allocate staff for care management activities?

The purpose of this study of the study was to determine how different practices allocate staff to care management for frail adults

How does interprofessional collaboration impact chronic disease care management for older adults?

The researcher’s purpose was to conduct a concept analysis of interprofessional collaboration and in the care management of older adults who have chronic diseases.

What is the feasibility of the use of video-enhanced care management in older veterans?

The study aims to determine the feasibility of video enhance care in the management of older veterans

What are the effects of P4P programs on the process of care and patient outcomes?

The purpose of the stud is to determine the effects of pay for performance programs in the healthcare delivery process and their impact on patient outcomes

What is the impact of P4P programs on healthcare provision and healthcare outcomes?

The study aimed to assess the impacts of P4P programs for diabetes care on healthcare provisions and healthcare outcomes

Design (Quantitative, Qualitative, or Other)

 

Quantitative A qualitative concept analysis Quantitative Qualitative Qualitative Setting/Sample

 

The sample consisted of 410 clinicians from 363 practices Review of 400 articles obtained from different databases Durhams Veterans Affairs Healthcare system Sixty-nine studies were used The setting was Taiwan Methods: Intervention/Instruments

 

Questionnaire Data was obtained from CINAHL, Medline, Heatlhstar, EMBASE, PsychINFO, Angeline, and Cochrane Databases Observation Data were obtained from PubMed, MEDLINE, PsycInfo, and CINAHL The researchers used a large-scale natural experiment where there was a four year follow up period Analysis

 

The researchers examined the relationships between staffing in different practices and care management provision activities. The authors used chi-square tests to compare the activities that had been configured into different practice groups. The authors used the Rodgers evolutionary method of concept analysis The researcher used descriptive statistics to assess the characteristics of the participants and their outcome measures. The author did not carry out a meta-analysis of the data The authors used a difference in difference analysis which was carried out using a generalized estimating equation model to determine the effects of pay for performance programs. Key Findings

 

The study determined that when the practices had both registered nurses and a social worker, the role of physicians and NP clinicians differed when it came to chronic care management and care coordination activities. The second finding is that registered nurses were more involved in care management and coordination during transitions. The first key finding is that interprofessional collaborations are important to ensure proper care management of adults with chronic diseases. The study determined that the use of video for the care management of older adults was rated higher fr eh participants who were familiar with the use of technology. The use of videos for care management also resulted in greater engagement, communication, and interaction which improved the care management process The use of pay for performance programs results in the improvement of the care process. The pay-for-performance programs increased the number of necessary examinations and tests and resulted in the improvement of the continuity of care Recommendations

 

The researchers have recommended practices to registered nurses and social workers to improve the care management offered to frail adults. The authors recommend that the nurses and other team members have a common understanding of interprofessional collaboration’s meaning and its purpose when it comes to delivering care to older adults who have chronic conditions. The researcher recommended the provision of a user guide that has instructions on the person to contact for problems and troubleshooting video telehealth to ensure effective care management The researcher did not provide any recommendations The authors’ recommendation is for healthcare authorities to establish policies that are needed to increase participation in P4P programs and ensure a continuous improvement in healthcare outcomes. Explanation of How the Article Supports Your Identified Barrier or Issue in Health Care This article supports the issue of healthcare management by determining the reasons as t why there is a poor care management and identifying how this issue can be solved. The article supports the issue of care management by identifying how poor care management can be addressed, which in this care is interprofessional collaboration. The article supports the issue of care management by providing an alternative way to ensure effective care management among older persons. The research article is relevant to the issue of care management since it assesses the feasibility of using pay for performance programs to improve the care management process. It supports the issue that I want to address by assessing the effectiveness of pay for performance programs in improving healthcare and continuity of care.
 
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