دورية أكاديمية
The Interprofessional Care Access Network (I-CAN): achieving client health outcomes by addressing social determinants in the community.
| العنوان: | The Interprofessional Care Access Network (I-CAN): achieving client health outcomes by addressing social determinants in the community. |
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| المؤلفون: | Bradley KJ; OHSU-PSU School of Public Health, Portland, OR, USA., Wros P; OHSU School of Nursing, Portland, OR, USA., Bookman N; OSU College of Pharmacy, Portland, OR, USA., Mathews LR; OHSU School of Nursing, Portland, OR, USA., Voss H; OHSU School of Nursing, Portland, OR, USA., Ostrogorsky TL; OSU College of Pharmacy, Portland, OR, USA., LaForge K; OHSU School of Nursing, Portland, OR, USA. |
| المصدر: | Journal of interprofessional care [J Interprof Care] 2023 Sep 01; Vol. 37 (sup1), pp. S45-S52. Date of Electronic Publication: 2018 Dec 25. |
| نوع المنشور: | Journal Article |
| اللغة: | English |
| بيانات الدورية: | Publisher: Informa Healthcare Country of Publication: England NLM ID: 9205811 Publication Model: Print-Electronic Cited Medium: Internet ISSN: 1469-9567 (Electronic) Linking ISSN: 13561820 NLM ISO Abbreviation: J Interprof Care Subsets: MEDLINE |
| أسماء مطبوعة: | Publication: London : Informa Healthcare Original Publication: Abingdon, Oxfordshire, OX, U.K. : Carfax Pub. Co., c1992- |
| مواضيع طبية MeSH: | Social Determinants of Health* , Interprofessional Relations*, Humans ; Health Personnel/education ; Health Occupations/education ; Outcome Assessment, Health Care |
| مستخلص: | Four health professions schools at an academic health science university and a partner state university collaborated to develop the Interprofessional Care Access Network (I-CAN), a model of healthcare delivery and interprofessional education that addresses the Triple Aims for vulnerable populations in three underserved neighborhoods. Program goals were achieved through community-based partnerships and the development of a health-care workforce prepared for competent practice in emerging models of care. In the first three years, almost 600 nursing, medicine, dentistry, and pharmacy students worked with clients referred from community partners, providing interprofessional care coordination addressing life instability and social determinants of health. The evaluation has demonstrated substantial improvement of health-related outcomes for clients who began in the first three years of the program and specifically those who completed intake and follow-up documentation (N = 38). There were substantial reductions in the aggregate number of emergency department visits, emergency medical service calls, and hospitalizations when compared to the 6 months prior to starting I-CAN. Estimated cost savings for the 38 clients, based on minimal estimated costs for these indicators alone, were over $224,000. A three-year qualitative review of client progress notes indicated that as a result of interprofessional student team interventions, many clients improved access to health insurance and primary care, and stabilized housing. Since the evaluation was completed, three programs have been added in rural and urban communities, demonstrating the model is scalable and replicable. |
| فهرسة مساهمة: | Keywords: Interprofessional student teams; care coordination; mixed methods; population health; underserved populations |
| تواريخ الأحداث: | Date Created: 20181227 Date Completed: 20230904 Latest Revision: 20230904 |
| رمز التحديث: | 20240628 |
| DOI: | 10.1080/13561820.2018.1560246 |
| PMID: | 30585089 |
| قاعدة البيانات: | MEDLINE |
PDF full text from Publisher | تدمد: | 1469-9567 |
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| DOI: | 10.1080/13561820.2018.1560246 |