Healthc Demand Dis Manag. 1998 Mar;4(3):39-42.
Some patients just defy the traditional disease management model. Many are elderly, have complex medical needs, and find comfort in their frequent visits to the hospital emergency department. Find out how a pilot DM program is using hospice and home health care providers as partners to help manage CHF and COPD among the high-cost elderly, and how the DM approach maintains its effectiveness even in the patients' final days.
一些患者就是无视传统的疾病管理模式。许多患者年事已高,有复杂的医疗需求,并且频繁前往医院急诊科会让他们感到安心。了解一个试点疾病管理项目如何将临终关怀和家庭医疗服务提供者作为合作伙伴,来帮助管理高成本老年患者中的慢性心力衰竭和慢性阻塞性肺疾病,以及疾病管理方法如何即使在患者生命的最后几天仍能保持其有效性。