Outcomes for patients with dementia from the Cleveland Alzheimer's Managed Care Demonstration
| Autor: | S. Eckert, P. A. Clark, D. M. Bass, W. J. Looman, C. A. McCarthy |
|---|---|
| Rok vydání: | 2004 |
| Předmět: |
medicine.medical_specialty
Health Services Misuse Mental Health Associations Patient satisfaction Nursing Ambulatory care Alzheimer Disease Critical care nursing Activities of Daily Living Adaptation Psychological Outcome Assessment Health Care Health care medicine Humans Referral and Consultation Aged Ohio Aged 80 and over business.industry Medical record Managed Care Programs Emergency department Middle Aged Telephone Self Care Psychiatry and Mental health Caregivers Patient Satisfaction Family medicine Utilization Review Managed care Power Psychological Geriatrics and Gerontology Pshychiatric Mental Health business Gerontology Psychosocial |
| Zdroj: | Aging & Mental Health. 8:40-51 |
| ISSN: | 1364-6915 1360-7863 |
| DOI: | 10.1080/13607860310001613329 |
| Popis: | This investigation evaluates effects of care consultation delivered within a partnership between a managed health care system and Alzheimer's Association chapter. Care consultation is a multi-component telephone intervention in which Association staff work with patients and caregivers to identify personal strengths and resources within the family, health plan, and community. The primary hypothesis is that care consultation will decrease utilization of managed care services and improve psychosocial outcomes. A secondary modifying-effects hypothesis posits benefits will be greater for patients with more severe memory impairment. The sample is composed of managed care patients whose medical records indicate a diagnosis of dementia or memory loss. Patients were randomly assigned to an intervention group, which was offered care consultation in addition to usual managed care services, or to a control group, which was offered only usual managed care services. Data come from two in-person interviews with patients, and medical and administrative records. Results supporting the primary hypothesis show intervention group patients feel less embarrassed and isolated because of their memory problems and report less difficulty coping. Findings consistent with the modifying-effects hypothesis show intervention group patients with more severe impairment have fewer physician visits, are less likely to have an emergency department visit or hospital admission, are more satisfied with managed care services, and have decreased depression and strain. |
| Databáze: | OpenAIRE |
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