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The Ironic Business Case For Chronic Care In The Acute Care Setting
Albert L. Siu,
Lynn H. Spragens,
Sharon K. Inouye,
R. Sean Morrison and
Bruce Leff
The U.S. health care system provides acute care tools to deal with the problems of chronic disease, and strategies are needed to engage hospitals in chronic care innovations. Acute care–based models that improve chronic care have been developed, but their diffusion is limited by the absence of a business case for adoption. Yet a financial case for improving chronic care is possible by aggregating previously tested models into a service line that can be customized to local circumstances. Beyond benefits to hospitals, patients and payers could benefit from improved patient outcomes and costs; society could benefit from more appropriate deployment of resources.
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H. Kao and L. C. Walter
Improvement of Hospital Care of Elderly Patients: Thinking Outside the (Hospital) Box: Comment on "Hospital at Home for Elderly Patients With Acute Decompensation of Chronic Heart Failure"
Arch Intern Med,
September 28, 2009;
169(17):
1576 - 1577.
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