| Autor: |
Lally KM; a Care New England Health System , USA.; b Integra Community Care Network, LLC.; c Warren Alpert School of Medicine of Brown University.; e Health Resources and Services Administration (HRSA)., Ducharme CM; b Integra Community Care Network, LLC.; e Health Resources and Services Administration (HRSA)., Roach RL; b Integra Community Care Network, LLC.; c Warren Alpert School of Medicine of Brown University.; e Health Resources and Services Administration (HRSA).; f Simmons College., Towey C; c Warren Alpert School of Medicine of Brown University.; e Health Resources and Services Administration (HRSA)., Filinson R; d Rhode Island College.; e Health Resources and Services Administration (HRSA)., Tuya Fulton A; a Care New England Health System , USA.; b Integra Community Care Network, LLC.; c Warren Alpert School of Medicine of Brown University.; e Health Resources and Services Administration (HRSA). |
| Jazyk: |
angličtina |
| Zdroj: |
Gerontology & geriatrics education [Gerontol Geriatr Educ] 2019 Jan-Mar; Vol. 40 (1), pp. 121-131. Date of Electronic Publication: 2018 Apr 09. |
| DOI: |
10.1080/02701960.2018.1459595 |
| Abstrakt: |
There is a well-described need to increase the competence of the primary care workforce in the principles of geriatrics and palliative care, and as value-based payment models proliferate, there is increased incentive for the acquisition of these skills. Through a Geriatric Workforce Enhancement Program grant, we developed an adaptable curriculum around commonly encountered topics in palliative care and geriatrics that can be delivered to multidisciplinary clinicians in primary care settings. All participants in this training were part of an Accountable Care Organization (ACO) and were motivated to improve to care for complex older adults. A needs assessment was performed on each practice or group of learners and the curriculum was adapted accordingly. With the use of patient education and screening tools with strong validity evidence, the participants were trained in the principals of geriatrics and palliative care with a focus on advance care planning and assessing for frailty and functional decline. Comparison of pre- and post-test scores demonstrated increased confidence and knowledge in goals of care and basic geriatric assessment. Participants described feeling more able to address needs, have conversations around goals of care, and more able to recognize patients who would benefit from collaboration with geriatrics and palliative care. |
| Databáze: |
MEDLINE |
| Externí odkaz: |
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