Care Coordination in Rural Communities: Supporting the High Performance Rural Health System.

摘要

Care coordination has emerged as a key strategy under new health care payment and delivery system models that aspire to achieve Triple Aim objectives—better patient care, improved population health, and lower per capita cost. Care coordination is also a key approach in support of creating a Culture of Health, articulated by the Robert Wood Johnson Foundation as a national movement that enables all in our diverse society to lead healthier lives. To achieve these goals, a proliferation of care coordination and care or case management activities have been embraced by health providers, systems, payers, and communities. Care coordination definitions and models vary, but all include multidisciplinary teams and networks, person-centeredness, and timely access to and exchange of information. They contain an underlying promise that when care coordination is delivered appropriately and with intention, individual and community health improves.