Are there ways to increase the provision of non-group-based care, such as child-minders?
Re "Medicare, in a Different Tack, Moves to Link Doctors' Payments to Performance" (news article, Dec. 12): Many physicians have long encouraged efforts to advance evidence-based care such as Medicare's "pay for performance system" passed by Congress.
Many other health systems have made more incremental steps toward what health economists like to call value-based care, such as accepting bundled payments for a patient's course of treatment, rather than charging an insurer per procedure.
Alternatives to institutions that provide family-based care, such as fostering, and short-term protection shelters for children at risk are also supported.
A challenge for UHC-targeting systems will be to link community-based care – such as adherence support at community providers' offices, pharmacies, and homes - with insurance financing.
For quantitative studies, comparison treatment as usual (TAU) groups were specialist mental health services that provide multi-disciplinary community-based care (such as UK Community Mental Health Teams).
Studies have also demonstrated that community-based care, such as deploying CHWs in treatment support for TB, is more cost-effective than other forms of care [ 8].
Of the 127 currently published topics most relate to hospital-based care, such as radiotherapy for age-related macular degeneration (Interventional Procedure Guidance, IPG, 048) and auditory brainstem implants (IPG108).
Community-based care, such as extended family or foster families, keeps children in their local culture and helps restore the sense of normalcy that they need for their well-being in both the short term and in terms of the impact on their development.
Obstacles related to implementation where uncertainty about legislation regulating the use of ICTs, concerns about which impact ICTs may have on relationships with patients, and ethical issues related to the use of ICTs in home-based care, such as surveillance and tracking of persons unable to give informed consent.
While the project was designed to address security concerns, BMA and KDHW further developed contingency plans to address potential negative consequences as a result of community-based care, such as scenarios for what to do if a perpetrator discovers that a survivor has sought assistance.
