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Evidence to Practice
April 9, 2018

Approach for Achieving Effective Care for High-Need Patients

Author Affiliations
  • 1Department of Health Policy and Management, Harvard T. H. Chan School of Public Health, Boston, Massachusetts
  • 2Department of Medicine, Harvard Medical School, Boston, Massachusetts
  • 3Division of General Internal Medicine, Brigham & Women’s Hospital, Boston, Massachusetts
JAMA Intern Med. Published online April 9, 2018. doi:10.1001/jamainternmed.2018.0823

Recently, the National Academy of Medicine (NAM), in partnership with the Harvard T. H. Chan School of Public Health, the Bipartisan Policy Center, The Commonwealth Fund, and the Peterson Center on Healthcare, which funded this initiative, held a series of workshops to advance our collective knowledge about how best to care for high-need patients. These workshops and their findings culminated in a NAM report titled Effective Care for High-Need Patients: Opportunities for Improving Outcomes, Value, and Health.1 Most of the evidence for this report ranged from level 2 (prospective comparative studies) to level 5 (expert opinions). In addition, a consensus decision-making process was used to identify the high-need patient taxonomy and successful care models.

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