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Transitional Care/After Care

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  • Topic: Transitional care/after care
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Lessons Learned in Performance Measurement

September 1, 2011 | Report

First report on recent trends in the effectiveness of care coordination for Medicare patients discharged from hospitals shows stagnant national performance and variations in care.

Physician Views on Barriers to Primary Care for Young Adults With Childhood-Onset Chronic Disease

April 1, 2010 | Journal Article

General pediatricians and internists report multiple barriers to providing primary care to adults with childhood-onset chronic disease. Most believe it would be difficult for these patients to find an adult-focused provider to care for their needs.

Survivorship Beyond Convalescence

June 16, 2009 | Journal Article

This brief reports on a study that extends previous analysis of the effects of prostate cancer treatments. Researchers compared prostatectomy, radiation, and brachytherapy and outcomes for urinary, sexual, and bowel function, and basic physical and mental function over 48 months.

Recovery of Activities of Daily Living in Older Adults After Hospitalization for Acute Medical Illness

December 1, 2008 | Journal Article

After hospitalization for illness, older adults discharged with diminished ability to take care of themselves are at high risk for death or continued disability in the following year, and are not likely to recover functions they do not regain in the first month post-discharge.

Access to Care for Youth with Special Health Care Needs in the Transition to Adulthood

July 1, 2008 | Journal Article

Youth with special needs face numerous issues when transitioning to the adult health system. A survey of 77 youth showed that too many lacked a usual source of care, and were either uninsured or had experienced an insurance gap.

Transition Planning for Youth with Special Health Care Needs

June 6, 2005 | Journal Article

Children with special health care needs are dependent on uninterrupted medical care for their health and well-being. Almost 13 percent of children in the U.S. are classified as such and they account for a disproportionate share of health care expend ...

Smoothing the Transition From Hospital to Community for Older Adults in Jacksonville, Fla.

December 7, 2011 | Story

Mark LeMaire led a community partnership in Jacksonville, Fla., that placed elder care advocates in area hospitals to help discharged patients transition back to the community. The hospitals have since incorporated the program into their operations.

When Students Have an Emergency, the Brookline Resilient Youth Team Steps in

April 18, 2011 | Program Result Report

In 2004, the Brookline Community Mental Health Center and Brookline High School established the Brookline Resilient Youth Team. It provides counseling and academic help to high school students who are re-entering school after a personal emergency.

Kansas City Residents Battle Crack Houses, Public Drunkenness

May 1, 2005 | Program Result Report

The Fighting Back project in Kansas City worked from 1990 to 2003 to reduce the harms associated with substance abuse by consolidating existing programs and resources into a communitywide system of prevention, early identification, treatment, aftercare and relapse prevention services.

Community Alliance Combats Substance Abuse in Vallejo, Calif.

May 1, 2005 | Program Result Report

The Fighting Back project in Vallejo, Calif., worked from 1990 to 2002 to prevent, intervene and treat alcohol and other drug abuse, focusing on local partnerships and strategic alliances to coordinate activities.

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