sábado, 27 de abril de 2013

Preventing Chronic Disease | Strategic Priorities to Increase Use of Clinical Preventive Services Among Older US Adults - CDC

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Preventing Chronic Disease | Strategic Priorities to Increase Use of Clinical Preventive Services Among Older US Adults - CDC



Multiple Chronic Conditions Collection
 
 
This week Preventing Chronic Disease (PCD) released 8 articles focusing on multiple chronic conditions. The articles within this collection address the current trends in population growth, age distribution, and disease dynamics that forecast rises in the prevalence of chronic diseases, other chronic conditions, and combinations of chronic conditions.


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Strategic Priorities to Increase Use of Clinical Preventive Services Among Older US Adults

Amy Slonim, PhD; William Benson; Lynda A. Anderson, PhD; Ellen Jones, PhD

Suggested citation for this article: Slonim A, Benson W, Anderson LA, Jones E. Strategic Priorities to Increase Use of Clinical Preventive Services Among Older US Adults. Prev Chronic Dis 2013;10:120231. DOI: http://dx.doi.org/10.5888/pcd10.120231External Web Site Icon.
PEER REVIEWED

Abstract

The objective of this project was to obtain professionals’ perceptions of system-level strategies with potential to increase use of clinical preventive services (CPS) among adults aged 50 years or older through community settings. Public health, aging services, and medical professionals participated in guided discussions and a modified Delphi process. Priority strategies, determined on the basis of a 70% or higher a priori agreement level, included enhancing community capacity; promoting the design of health information technologies to exchange data between clinical and community settings; promoting care coordination; broadening scope of practice; providing incentives to employers; and eliminating cost-sharing. Findings provide insights about preferences for system-level strategies that align with national and state initiatives to increase CPS use.


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Prioridades estratégicas para aumentar el uso de servicios clínicos preventivos entre los adultos mayores en Estados Unidos

Amy Slonim, PhD; William Benson; Lynda A. Anderson, PhD; Ellen Jones, PhD

Suggested citation for this article: Slonim A, Benson W, Anderson LA, Jones E. Strategic Priorities to Increase Use of Clinical Preventive Services Among Older US Adults. Prev Chronic Dis 2013;10:120231. DOI: http://dx.doi.org/10.5888/pcd10.120231Aclaraci?n sobre los enlaces a sitios web externos.
PEER REVIEWED

Resumen

El objeto de este proyecto fue averiguar la percepción que tienen los profesionales sobre las estrategias a nivel de sistema con potencial de aumentar el uso de los servicios clínicos preventivos (CPS, por sus siglas en inglés) entre adultos mayores de 50 años a través del entorno comunitario. En las conversaciones guiadas y en un proceso Delphi modificado participaron representantes de salud pública, de servicios para personas mayores y profesionales médicos. Las estrategias prioritarias, que se determinan con base en un nivel de acuerdo previo del 70 % o mayor, incluyen mejorar la capacidad de la comunidad; promover el diseño de las tecnologías de información de la salud que intercambien datos entre los entornos clínicos y los comunitarios; promover la coordinación del cuidado; aumentar el ámbito del ejercicio profesional; promover incentivos a los empleadores y eliminar los costos compartidos. Los hallazgos proporcionan información sobre las preferencias por estrategias a nivel de sistema que coincidan con iniciativas nacionales y estatales para aumentar el uso de los servicios clínicos preventivos.

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