Publications by authors named "Leslie Piet"

Article Synopsis
  • Young men of color who have sex with men (yMSM) living with HIV face challenges in staying in care, which leads to poor health outcomes despite available treatment options.
  • A new approach called early palliative care management was introduced to outpatient HIV staff to better address the complexities of yMSM patients, resulting in improved quality of life scores at the intervention site compared to a control site.
  • The study highlighted that outpatient staff experience more stress from environmental factors than from patients' health issues, and community stakeholder input played a crucial role in shaping the study's practices and educational messages.
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Purpose: To develop and apply an outcomes assessment framework (OAF) for care management programs in health care delivery settings.

Background: Care management (CM) refers to a regimen of organized activities that are designed to promote health in a population with particular chronic conditions or risk profiles, with focus on the triple aim for populations: improving the quality of care, advancing health outcomes, and lowering health care costs. CM has become an integral part of a care continuum for population-based health care management.

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Association between palliative case management (PCM) and the utilization of major health services during the last 30 days of life in Medicaid patients with cancer was assessed using retrospective cohort analysis. There were 132 PCM enrollees in the intervention group and 54 non-PCM enrollees in the comparison group. The intervention group had lower inpatient admission rate than that of the comparison group (56.

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Purpose: This study evaluated a cancer case management pilot program focusing on palliative care, the Omega Life Program (OLP), by assessing whether the program was associated with reduced hospital utilization.

Methods: A retrospective observational study of patients with cancer who enrolled in the OLP (intervention) compared to those who chose not to enroll (comparison) from January 1, 2005 to February 28, 2007. Patients were included in the primary analyses if they died by the end of the study period and were enrolled in the program at least 1 week before death.

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