TY  - JOUR
T1  - IMproving health by taking it personally
AU  - Snyderman R, Dinan MA
Y1  - 2010/01/27
N1  - 10.1001/jama.2010.34
JO  - JAMA
SP  - 363
EP  - 364
VL  - 303
IS  - 4
N2  - 
Because care is more effective when services are coordinated,1 there are mounting efforts to spur greater integration of delivery systems. What is missing is an approach that aligns the patient's individual needs with health services tailored to meet those needs. Coordination of services will be insufficient unless they are driven by plans designed to anticipate the health needs of the patient over time. A proposal to do this is “prospective care,” a strategic approach that combines personalized health planning with integrated care services to focus on individualized health promotion, disease prevention, monitoring, and early intervention.2 Personalized health planning has the potential to effectively engage individuals with any aligned delivery system and serve as a foundation for payment models for valued outcomes.3 To deliver prospective care, 3 interrelated elements are essential: (1) a care model that uses personalized and predictive health planning, patient engagement, and processes to track health status, anticipate events, and personalize care when disease occurs; (2) care delivery systems to support the patient's strategic health plan and medical needs in a coordinated, integrated fashion; and (3) a reimbursement system that supports prospective approaches and provides incentives for effective interventions.

SN  - 0098-7484
M3  - doi: 10.1001/jama.2010.34
UR  - http://dx.doi.org/10.1001/jama.2010.34
ER  -