The Effect of a Disease Management Intervention on Quality and Outcomes of Dementia Care

Vickrey, Barbara G.; Mittman, Brian; Connor, Karen I.; Pearson, Marjorie L.; Penna, Richard Della; Ganiats, Théodore G.; DeMonte, Robert W.; Chodosh, Joshua; Cui, Xinping; Vassar, Stefanie D.; Duan, Naihua; Lee, Martin

doi:10.7326/0003-4819-145-10-200611210-00004

Cited by 376 publications

(521 citation statements)

References 66 publications

Supporting

Mentioning

496

Contrasting

Unclassified

Order By: Relevance

“…16 Although small primary care practices are unlikely to have in-house case managers or social workers to help with linking patients like Ms. M to appropriate community resources, modern methods of collaborative work may offer solutions that do not require hiring new staff, such as using electronic/video linkage to social workers at community agencies. 18 …”

Section: Delivery Modelsmentioning

confidence: 99%

“…Clinics may strengthen these linkages in a variety of ways (e.g., paper lists of community contacts, websites with information about community linkages that patients and/or caregivers can access, formal partnerships between clinics and community programs). 18 Developing and maintaining these linkages require a substantial amount of up-front investment to identify reliable resources. Local community agencies and professional organizations may have a role in creating centralized repositories of information for primary care practices to use.…”

Section: Community Linkagesmentioning

confidence: 99%

“…Visits to the NP or PA are earmarked to address a specific chronic condition or conditions and use structured visit notes appropriate to the condition being addressed 31 Nurses, social workers, or psychologists (internal or external to a practice) receive additional specialized training in working with vulnerable elders. 15,18,32 These professionals then provide support to a group of primary care clinicians in assessing patients' and caregivers' needs, in coordinating care, and in counseling patients or family members about chronic conditions An NP/social worker team coupled to a geriatrics interdisciplinary team can provide a high level of external support to the primary care clinician in managing care for low-income vulnerable elders 14 Augmented primary care…”

Section: Delivery Modelsmentioning

confidence: 99%

See 2 more Smart Citations

Key Elements of High-Quality Primary Care for Vulnerable Elders

Ganz

Fung²,

Sinsky

et al. 2008

J GEN INTERN MED

View full text Add to dashboard Cite

With the impending surge in the number of older adults, primary care clinicians will increasingly need to manage the care of vulnerable elders. Caring for vulnerable elders is complex because of their wide range of health goals and the interdependence of medical care and community supports needed to achieve those goals. In this article, we identify ways a primary care practice can reorganize to improve the care of vulnerable elders. We begin by identifying important outcomes for vulnerable elders and three key processes of care (communication, developing a personal care plan for each patient, and care coordination) needed to achieve these outcomes. We then describe two delivery models of primary care for vulnerable elders -co-management, and augmented primary care. Finally, we discuss how the physical plant, people, workflow management, and community linkages in a primary care practice can be restructured to better serve these patients.KEY WORDS: primary care; practice redesign; quality of care; quality improvement; older adults.

show abstract

Section: Delivery Modelsmentioning

confidence: 99%

Section: Community Linkagesmentioning

confidence: 99%

Section: Delivery Modelsmentioning

confidence: 99%

See 1 more Smart Citation

Key Elements of High-Quality Primary Care for Vulnerable Elders

Ganz

Fung²,

Sinsky

et al. 2008

J GEN INTERN MED

View full text Add to dashboard Cite

show abstract

“…Their role varied depending on the study, but comprised assessment, monitoring, care-planning, management and coordinating care, and resulted in positive findings in some of the outcomes measured. These included care that was more concordant with guidelines and increased referrals to community services (27), and improved patient satisfaction levels and reduced rates of depression (28). In spite of these promising results, the role is yet to be tried outside the US health system, and the extra utilisation of health care resources might be prohibitive in some countries.…”

Section: Multi-disciplinary Approachmentioning

confidence: 99%

The role of primary care in the recognition of and response to dementia

Koch

Iliffe

2010

The Journal of nutrition, health and aging

View full text Add to dashboard Cite

“…psychiatrique, insuffisance rénale, démence [9], etc.). Le travail du gestionnaire de cas comprend en géné-ral les tâches suivantes [10,11] :…”

unclassified

La gestion de cas en gérontologie

2012

View full text Add to dashboard Cite

Définition de gestion de cas et intérêt dans l'accompagnement de la démence• le repérage des patients relevant de sa compé-tence ; • une évaluation globale standardisée de leur situation et de leurs besoins, qu'ils soient sanitaires ou sociaux ; • l'élaboration d'un plan de service individualisé réca-pitulant l'ensemble des services nécessaires (livraison des repas, soins à domicile, suivi médical, aménage-ment du domicile, visites de bénévoles, etc.) ; • la mise en oeuvre de ce plan, son adaptation à l'évo-lution de la maladie et la réévaluation régulière des besoins. La pratique de la gestion de cas pour les patients pré-sentant un syndrome démentiel semble d'autant plus pertinente que leur prise en charge requiert la collaboration de nombreux professionnels, médicaux, paramé-dicaux et du secteur social. La nécessité du recours à un professionnel pour aider la personne malade à organiser sa vie quotidienne est flagrante lorsque celle-ci est isolée et ne peut s'appuyer sur des proches, ou lorsque les proches en question n'ont pas la capacité de lui venir en aide.

show abstract

The Effect of a Disease Management Intervention on Quality and Outcomes of Dementia Care

Cited by 376 publications

References 66 publications

Key Elements of High-Quality Primary Care for Vulnerable Elders

Key Elements of High-Quality Primary Care for Vulnerable Elders

The role of primary care in the recognition of and response to dementia

La gestion de cas en gérontologie

Contact Info

Product

Resources

About