Innovations in preventing and managing chronic conditions: what's working in the real world?

Alwyn Cassil
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Abstract

Wellness and prevention strategies are fast becoming a standard feature of employer-based health benefits in hopes of countering rapidly rising health care costs that drive higher insurance premiums. At the same time, payers and health care providers are experimenting with how to improve care coordination for high-cost patients with multiple chronic conditions, an ongoing challenge in the fragmented U.S. health care system. Promoting health and wellness and improving the care of people with chronic conditions offer promise in helping to improve the value of health care and control costs, according to experts at a Center for Studying Health System Change (HSC) conference titled, Innovations in Preventing and Managing Chronic Conditions: What's Working in the Real World? Panelists explored how effective employer-sponsored wellness and prevention initiatives focus on health improvement as a business strategy and foster work and community environments that help people lower risk factors--smoking, diet, lack of exercise--that lead to disease. Panelists also discussed various models--centered on strong primary care-to improve care for people with chronic conditions.

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预防和管理慢性病的创新:在现实世界中什么是有效的?
健康和预防策略正迅速成为以雇主为基础的健康福利的一个标准特征,以期应对迅速上升的医疗保健成本,这推动了更高的保险费。与此同时,支付者和医疗保健提供者正在试验如何改善患有多种慢性疾病的高成本患者的护理协调,这是美国支离破碎的医疗保健系统中一个持续的挑战。在卫生系统变革研究中心(HSC)召开的题为“预防和管理慢性病的创新:现实世界中什么在起作用?”会议上,专家们表示,促进健康和健康,改善慢性病患者的护理,有望帮助提高医疗保健的价值和控制成本。小组成员探讨了雇主赞助的健康和预防倡议如何有效地将健康改善作为一种商业战略,并营造有助于人们降低导致疾病的风险因素——吸烟、饮食、缺乏锻炼——的工作和社区环境。小组成员还讨论了以强有力的初级保健为中心的各种模式,以改善对慢性病患者的护理。
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Small employers and self-insured health benefits: too small to succeed? Employer-sponsored health insurance: down but not out. Rising hospital employment of physicians: better quality, higher costs? Key findings from HSC's 2010 site visits: health care markets weather economic downturn, brace for health reform. Physicians slow to e-mail routinely with patients.
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