Developing multidisciplinary clinics for neuromuscular care and research
| Autor: | James D. Berry, Merit Cudkowicz, Katie Nicholson, Fawn Leigh, Kristin Drake, David A. Chad, Kathryn J. Swoboda, Kellen Haley, Sabrina Paganoni |
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| Jazyk: | angličtina |
| Rok vydání: | 2017 |
| Předmět: |
Adult
Neuromuscular disease Physiology telehealth Telehealth Patient advocacy multidisciplinary care healthcare costs 03 medical and health sciences Cellular and Molecular Neuroscience 0302 clinical medicine Quality of life (healthcare) Nursing Ambulatory care Multidisciplinary approach Physiology (medical) 11. Sustainability Medicine Humans Invited Reviews genetics 030212 general & internal medicine Child Average cost Reimbursement advocacy Invited Review business.industry disease outcomes Research Neuromuscular Diseases medicine.disease 3. Good health Quality of Life Neurology (clinical) business Delivery of Health Care 030217 neurology & neurosurgery |
| Zdroj: | Muscle & Nerve |
| ISSN: | 1097-4598 0148-639X |
| Popis: | Multidisciplinary care is considered the standard of care for both adult and pediatric neuromuscular disorders and has been associated with improved quality of life, resource utilization, and health outcomes. Multidisciplinary care is delivered in multidisciplinary clinics that coordinate care across multiple specialties by reducing travel burden and streamlining care. In addition, the multidisciplinary care setting facilitates the integration of clinical research, patient advocacy, and care innovation (e.g., telehealth). Yet, multidisciplinary care requires substantial commitment of staff time and resources. We calculated personnel costs in our ALS clinic in 2015 and found an average cost per patient visit of $580, of which only 45% was covered by insurance reimbursement. In this review, we will describe classic and emerging concepts in multidisciplinary care models for adult and pediatric neuromuscular disease. We will then explore the financial impact of multidisciplinary care with emphasis on sustainability and metrics to demonstrate quality and value. Muscle Nerve 56: 848–858, 2017 |
| Databáze: | OpenAIRE |
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