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ParkinsonNet: An Innovative Dutch Approach to Patient-Centered Care for a Degenerative Disease

December 23, 2016

Key features Multidisciplinary networks of allied health professionals in the Netherlands use evidence-based practice guidelines for treating Parkinson's disease, facilitated by a web-based platform through which patients can provide feedback about their care.Target population Adults with Parkinson's disease, an age-related neurodegenerative disorder for which no cure exists.Why it's important Many patients with degenerative chronic diseases have difficulty accessing the range of specialty medical, nursing, and supportive services they need, and available personnel often lack expertise with particular conditions. Care practices vary, and care coordination can be challenging.Benefits Lower rates of hip fractures and hospitalizations and better self-reported quality-of-life outcomes; greater knowledge of Parkinson's treatment among providers and higher job satisfaction; generally lower treatment costs where model has been implemented.Challenges Provider payment often does not cover care coordination services. The model might work best with a global payment approach.

Home Care by Self-Governing Nursing Teams: The Netherlands' Buurtzorg Model

May 29, 2015

The Dutch home-care provider Buurtzorg Nederland has attracted widespread interest for its innovative use of self-governing nurse teams. Rather than relying on different types of personnel to provide individual services—the approach taken by most home health providers—Buurtzorg expects its nurses to deliver the full range of medical and support services to clients. Buurtzorg has earned high patient and employee ratings and appears to provide high-quality home care at lower cost than other organizations. This case study reviews Buurtzorg's approach and performance thus far and considers how this model of care might be adapted for the United States.

Health Care for Undocumented Migrants: European Approaches

December 6, 2012

European countries have smaller shares of undocumented migrants than does the United States, but these individuals have substantial needs for medical care and present difficult policy challenges even in countries with universal health insurance systems. Recent European studies show that policies in most countries provide for no more than emergency services for undocumented migrants. Smaller numbers of countries provide more services or allow undocumented migrants who meet certain requirements access to the same range of services as nationals. These experiences show it is possible to improve access to care for undocumented migrants. Strategies vary along three dimensions: 1) focusing on segments of the population, like children or pregnant women; 2) focusing on types of services, like preventive services or treatment of infectious diseases; or 3) using specific funding policies, like allowing undocumented migrants to purchase insurance.

Electronic Health Records: An International Perspective on "Meaningful Use"

November 17, 2011

Examines the extent of meaningful use of electronic health records in Denmark, New Zealand, and Sweden, including sharing information with organizations, health authorities, and patients. Outlines challenges of and insights into encouraging U.S. adoption.

Consumer Operated and Oriented Plans (CO-OPs): An Interim Assessment of Their Prospects

August 31, 2011

Provides an overview of nonprofit, member-governed plans that will create innovative care delivery and payment models to compete in states' individual and small group health insurance markets. Outlines challenges and potential effect on the market.

England's Approach to Improving End-of-Life Care: A Strategy for Honoring Patients' Choices

July 19, 2011

Outlines England's evidence-based End of Life Care Strategy, its impact, and possible lessons for palliative care in the United States, such as the use of death at home as a metric for progress and Web-based training for clinical and caregiving personnel.

Health Policy Research and Foundation Grantmaking

March 1, 2004

The Foundation Center's report on health policy grantmaking in 1995 and 2002, Update on Foundation Health Policy Grantmaking, provides a fascinating window into the philanthropic sector's activities during a period in which health policy vastly declined as a central governmental concern. An important role of the nonprofit sector is to complement government, undertaking activities that are out of favor or overlooked by government. This report and its predecessor, which traced trends in health policy grantmaking between 1990 and 1995, show foundations' activities during a particularly interesting time in the health policy history of the United States.