Patients with higher ACEs scores or positive PTSD screenings felt stress when seeking medical care, but indicated trauma-informed treatment approaches would relieve this stress.
Social and legal services to address health care costs and utilization may be most effective for individuals with moderately high utilization who are less clinically complex.
Profiles Yakima Neighborhood Health Services, a health center in Washington State, that launched a medical respite care program in 2010 after a focus group of patients experiencing homelessness expressed the need for a place to stay when they were sick.
Case managers noted establishing trust, fostering mindset changes, and increasing stability and independence can be measures of success when working with people with complex needs.
Natural language processing of patient visit notes can help providers identify social factors that may lead to health care utilization for older adults with multiple chronic conditions.
While the Medicare hospice benefit has historically been designed to meet the needs of patients with cancer, people with dementia and their caregivers experience better outcomes when enrolled in hospice.
Summarizes research on the prevalence of social screening in health care settings, validity of social screening tools, and patient and provider perspectives on social screening.
Analytical approach for randomized controlled trials may be valuable for understanding the impact of complex care interventions and the subpopulations that may benefit from them.
While there is limited research on whether Medicaid home and community-based services are available, accessible, accommodating, and acceptable for marginalized groups, existing evidence shows that there are widespread disparities that policymakers should address.
Peer support specialists can link patients with substance use disorders to treatment, but this study showed disparate outcomes for how one program impacted access to care for Black and white patients.
Features a conversation with representatives of the Duke-Margolis Center for Health Policy about Medicare and Medicaid policy options for expanding access to home-based care for people with complex health needs.