Unpacking complex interventions that manage care for high-need, high-cost patients: a realist review.

ABSTRACT:

Objective

Payers, providers and policymakers in the USA are interested in developing interventions that reduce preventable or modifiable healthcare use among high-need, high-cost (HNHC) patients. This study seeks to describe how and why complex interventions for HNHC patients lead to more appropriate use of healthcare services.

Design

A realist review which develops programme theories from causal explanations generated and articulated through the creation of context-mechanism-outcome configurations.

Methods

Electronic databases (including PubMed and Embase) and gray literature from January 2000 to March 2021 were searched. All study designs were included if the article provided data to develop our programme theories. Included studies were conducted in the USA and focu

SUBMITTER: Chang E 

PROVIDER: S-EPMC9185578 | biostudies-literature | 2022 Jun

REPOSITORIES: biostudies-literature