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Study: U.S. chronically ill most likely to go without care

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healthcare system
Commonwealth Fund
chronic disease

In yet another sign of the stresses facing our healthcare system, a recent study found that chronically ill patients in the U.S. are much more likely to go without healthcare because of the cost than patients from the other nations studied. The Commonwealth Fund surveyed 7,500 patients from the U.S. and seven other nations, including Australia, Canada, France, Germany, the Netherlands, New Zealand and the United Kingdom.

In addition to chronically ill patients going without medical care, they also found that the U.S. patients had the worst experience with medical errors, coordination problems, and out-of-pocket expenses. More than 50 percent of chronically ill patients' reports included not filling prescriptions, skipping doses, not visiting physicians, and not getting recommended care.

The researchers also gave recommendations for how to improve these problems, which included using incentives and bundled payments, and engaging patients and communities to focus on prevention and health.

To learn more about the study:
- read this Modern Healthcare piece (reg. req.)

Related Articles:
Study: Quality of U.S. healthcare lags despite high spending
Study: Majority of patients want EMRs
Study: Millions of chronically ill not getting care they need
Study: Chronic disease payment needs changes

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Chronic disease patients often miss appointments because patients are generally unreliable as far a keeping up with when they should schedule a visit.. The doctors rely on the patients to stay on top opf this.. The problem lies in the fact that doctors have no way to track when and if a particular patient needs an appointment.. Patient fall through the cracks.. Some EMR's have an analytical tool that pulls paitient data (test results, values, diagnosis, historical visits, etc) highlighting patients in need of care.. The nurse can then call those patients to schedule an appointment..

TeleVox Software has a system that pulls data from multiple sources including the EMR, transcribed notes, lab results, pharmacy, etc.. This is an effective tool to identify chronic and preventive care patients.. SmartReach 360 goes a step further and places an automated call to the patient reminding them to schedule an appointment.. It's been very effective for improving patient care and revenue..

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