Applying Care Coordination Frameworks to Encourage Self-Management Among Medicare Patients with Chronic Neurological Conditions: Review of Current Literature, Qualitative Interviews, and Proposing Future Direction
This thesis aims to study past literature on current care coordination models for chronic neurological disorders and to build a new overarching care coordination model for all chronic neurological disorders. The current U.S. health system is not structured to provide care for chronically ill patients effectively, and there are gaps in the ongoing care coordination models for patients with chronic conditions. These gaps can lead to ineffective care that can worsen the patient’s health. Ideally, care coordination should bring together the patient’s care team so that they can deliver safe and effective care that empowers patients and encourages patients to practice self-management so that they can live a relatively independent life. While Canada has developed a care coordination model for patients with neurological conditions, providers have not applied this model in a clinical setting, and many aspects of the model would need to be changed for it to work in the U.S. healthcare system. Thus, the research question of this thesis is to what extent do current care coordination models work and what can be improved upon to better coordinate care that encourages self-management. Through a combination of literature review and qualitative interviews, I will develop a potential care coordination model to promote self-management for Medicare beneficiaries with chronic neurological disorders. I will also examine the policy implications of developing a new care coordination model, as changing providers’ behavior requires modifying reimbursement and billing policies. Overall, the significance of this thesis is to provide a possible solution that improves upon the current care coordination processes and can serve as a basis for future care coordination studies.
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