Implementation and review of the care ecosystem in an integrated healthcare system.

Autor: Rosenbloom MH; HealthPartners Center for Memory & Aging, St. Paul, MN, USA. Michael.H.Rosenbloom@HealthPartners.Com.; HealthPartners Institute, Bloomington, MN, USA. Michael.H.Rosenbloom@HealthPartners.Com.; Neuroscience Research, HealthPartners Neuroscience Center, 295 Phalen Blvd, St Paul, MN, 55130, USA. Michael.H.Rosenbloom@HealthPartners.Com., Kashyap B; HealthPartners Center for Memory & Aging, St. Paul, MN, USA.; HealthPartners Institute, Bloomington, MN, USA.; Neuroscience Research, HealthPartners Neuroscience Center, 295 Phalen Blvd, St Paul, MN, 55130, USA., Diaz-Ochoa A; HealthPartners Center for Memory & Aging, St. Paul, MN, USA., Karrmann J; HealthPartners Center for Memory & Aging, St. Paul, MN, USA., Svitak A; HealthPartners Institute, Bloomington, MN, USA.; Neuroscience Research, HealthPartners Neuroscience Center, 295 Phalen Blvd, St Paul, MN, 55130, USA., Finstad J; HealthPartners Center for Memory & Aging, St. Paul, MN, USA., Brombach A; HealthPartners Center for Memory & Aging, St. Paul, MN, USA., Sprandel A; HealthPartners Center for Memory & Aging, St. Paul, MN, USA., Hanson L; HealthPartners Center for Memory & Aging, St. Paul, MN, USA.; HealthPartners Institute, Bloomington, MN, USA.; Neuroscience Research, HealthPartners Neuroscience Center, 295 Phalen Blvd, St Paul, MN, 55130, USA., Dulaney S; Memory and Aging Center, University of California, San Francisco, CA, USA., Possin K; Memory and Aging Center, University of California, San Francisco, CA, USA.
Jazyk: angličtina
Zdroj: BMC geriatrics [BMC Geriatr] 2023 Aug 24; Vol. 23 (1), pp. 515. Date of Electronic Publication: 2023 Aug 24.
DOI: 10.1186/s12877-023-04146-z
Abstrakt: Background and Objectives: The University of California, San Francisco Memory and Aging Center (UCSF-MAC) led the development and tested a collaborative care model delivered by lay care team navigators (CTNs) with support from a multidisciplinary team known as the Care Ecosystem (CE). We evaluated outcomes related to the feasibility of the CE in a non-academic healthcare system, including acceptability, adoption, and fidelity to the original UCSF model.
Research Design and Methods: The CE team at HealthPartners consisted of two CTNs, a social worker, an RN, a program coordinator, and a behavioral neurologist. Intake forms were developed to collect demographic, baseline, and annual data at one year related to dementia severity and caregiver status. Experience surveys were completed at 6 and 12 months by participating caregivers. All data was entered into REDCap.
Results: A total of 570 PWD-caregiver dyads were recruited into the CE: 53% PWDs female, average age 75.2 ± 9.43, 19% living within rural communities. Of the 173 dyads assessed at one year, 30% responded to the annual intake forms and 58% of responded to experience surveys. At one year, PWDs progressed in disease severity and functional impairment, although caregiver burden and mood remained unchanged. We observed a significant reduction in caregiver reported emotional challenges associated with caregiving, sleep problems, and obtaining caregiver help at one year. 86% of caregivers reported feeling supported by their CTN nearly always or quite frequently, and 88% rated the CTN as highly responsive to what was important to them.
Discussion and Implications: The CE was feasible and well-received within a non-academic healthcare system.
(© 2023. BioMed Central Ltd., part of Springer Nature.)
Databáze: MEDLINE
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