Looking at care from the inside out: a conceptual approach to geriatric care.
Today, managing care from the "outside in" is the predominant model for changing health care. The risk of this outside-in approach is that the health care system may lose sight of the people and communities for which it serves and cares. In this article, an "inside-out" model for viewing health care in a geriatric population is presented from the perspective of patients and providers, placing the provider in a proactive rather than reactive role. By focusing attention on the outcomes or value a patient is experiencing, providers are challenged to consider new ways of managing care.
Splaine
M
M
Hitchcock Clinic, Lebanon, NH, USA.
Batalden
P
P
Nelson
E
E
Plume
S K
SK
Wasson
J H
JH
D000368:Aged; D000553:Ambulatory Care / Q000458:organization & administration; D003363:Cost Control; D006301:Health Services Needs and Demand; D006299:Health Services for the Aged / Q000191:economics / Q000458:organization & administration* / Q000592:standards; D006801:Humans; D008329:Managed Care Programs / Q000458:organization & administration* / Q000592:standards; D017146:Models, Organizational; D010043:Outcome and Process Assessment, Health Care; D011785:Quality Assurance, Health Care / Q000379:methods; D014481:United States