Guided Care

.......an elegant sounding idea. This could be something our Home Care coordinators take on with an increased case management role. Unfortunately, again , no hard outcomes according to a JAMA study of 15 similar programmes. My guess would be that the closer the working relationship with the attending physician the greater the savings on unnecessary visits, tests etc. On a positive note the Guided Care trial found "Results showed that patients rated the quality of their health care higher, physicians reported increased satisfaction, and caregivers registered lower stress levels on a measurement called the C.S.I. — the Caregiver Strain Index".