GERIATRICS IN MANAGED CARE: Systems of Care for Older Populations of the Future
1998; Wiley; Volume: 46; Issue: 4 Linguagem: Inglês
10.1111/j.1532-5415.1998.tb02474.x
ISSN1532-5415
AutoresChad Boult, Lisa Boult, James T Pacala,
Tópico(s)Aging and Gerontology Research
ResumoJournal of the American Geriatrics SocietyVolume 46, Issue 4 p. 499-505 GERIATRICS IN MANAGED CARE: Systems of Care for Older Populations of the Future Chad Boult MD, MPH, Corresponding Author Chad Boult MD, MPH Department of Family Practice and Community Health, University of Minnesota Medical School, Minneapolis, Minnesota.825 Washington Avenue SE, Suite 201, Minneapolis, MN 55414.Search for more papers by this authorLisa Boult MD, MPH, Lisa Boult MD, MPH Department of Family Practice and Community Health, University of Minnesota Medical School, Minneapolis, Minnesota.Search for more papers by this authorJames T. Pacala MD, MS, James T. Pacala MD, MS Department of Family Practice and Community Health, University of Minnesota Medical School, Minneapolis, Minnesota.Search for more papers by this author Chad Boult MD, MPH, Corresponding Author Chad Boult MD, MPH Department of Family Practice and Community Health, University of Minnesota Medical School, Minneapolis, Minnesota.825 Washington Avenue SE, Suite 201, Minneapolis, MN 55414.Search for more papers by this authorLisa Boult MD, MPH, Lisa Boult MD, MPH Department of Family Practice and Community Health, University of Minnesota Medical School, Minneapolis, Minnesota.Search for more papers by this authorJames T. Pacala MD, MS, James T. Pacala MD, MS Department of Family Practice and Community Health, University of Minnesota Medical School, Minneapolis, Minnesota.Search for more papers by this author First published: 27 April 2015 https://doi.org/10.1111/j.1532-5415.1998.tb02474.xCitations: 55 This article is one in a series on Geriatrics in Managed Care A version of this paper was presented at the Annual Meeting of the Gerontological Society of America, Washington, DC, November 1996. Read the full textAboutPDF ToolsRequest permissionExport citationAdd to favoritesTrack citation ShareShare Give accessShare full text accessShare full-text accessPlease review our Terms and Conditions of Use and check box below to share full-text version of article.I have read and accept the Wiley Online Library Terms and Conditions of UseShareable LinkUse the link below to share a full-text version of this article with your friends and colleagues. Learn more.Copy URL Share a linkShare onEmailFacebookTwitterLinkedInRedditWechat REFERENCES 1 Office of Managed Care. Health Care Financing Administration. 1997. 2 Ware JE, Balsas MS, Rogers WH et al. Differences in 4-year health outcomes for elderly and poor chronically ill patients treated in HMO and fee-for-service systems. JAMA 1996; 276: 1039–1047. 3 Wagner EH. The promise and performance of HMOs in improving outcomes in older adults. J Am Geriatr Soc 1996; 44: 1251–1257. 4 Freeborn DK, Pope CR, Mullooly JP, McFarland BH. Consistently high users of medical care among the elderly. Med Care 1990; 28: 527–540. 5 Gruenberg L., Tompkins C., Porell F.. The health status and utilization patterns of the elderly: Implications for setting Medicare payments to HMOs. Adv Health Econ Health Serv Res 1989; 10: 41–73. 6 Nelson L., Gold M., Brown R. et al. Access to care in Medicare managed care: Results from a 1996 survey of enrollees and disenrollees. Washington, DC: Physician Payment Review Commission selected external research series #7, 1996. 7 Landefeld CS, Palmer RM, Kresevic DM et al. A randomized trial of care in a hospital medical unit especially designed to improve the functional outcomes of acutely ill older adults. N Engl J Med 1995; 332: 1338–1344. 8 Covinski KE, King JT, Quinn LM et al. Do acute care for elders units increase hospital costs? A cost analysis using the hospital perspective. J Am Geriatr Soc 1997; 45: 729–734. 9 Craig DW, Flaum MA, Morrison ES et al. Cost savings associated with implementation of a specialized geriatric acute care unit. J Am Geriatr Soc 1997; 45(abstract): S139. 10 Counsell S., Landefeld CS, Palmer R. et al. Impact of an ACE unit on physician and nurse ratings of interdisciplinary care. J Am Geriatr Soc (abstract) 1997; 45: S168. 11 Stessman J., Ginsberg G., Rozenberg-Hammerman R. et al. Decreased hospital utilization by older adults attributable to a home hospitalization program. J Am Geriatr Soc 1996; 44: 591–598. 12 Leff B., Burton JR. Acute medical care in the home. J Am Geriatr Soc 1996; 44: 603–605. 13 Burton L., Leff B., Guido S. et al. Can home hospital reduce costs compared to in-hospital care? An early comparison of actual charges. J Am Geriatr Soc (abstract) 1997; 45: S128. 14 Guido S., Leff B., Burton J.. Home hospital program: Satisfaction level of patients, caregivers and nursing personnel. J Am Geriatr Soc (abstract) 1997; 45: S167. 15 Joint Commission for Accreditation of Health Care Organizations. Accreditation manual for subacute facilities. Chicago: Joint Commission for Accreditation of Health Care Organizations, 1995. 16 American Medical Association. Guidelines for physician responsibilities in subacute care. Chicago: American Medical Association, 1995. 17 Sternberg T., Hepburn K., Cibuzar P. et al. Post-hospital sub-acute care: An example of a managed care model. J Am Geriatr Soc 1997; 45: 87–91. 18 Kramer AM, Steiner JF, Schlenker RE et al. Outcomes and costs after hip fracture and stroke: A comparison of rehabilitation settings. JAMA 1997; 277: 396–404. 19 Brody KK, Johnson RE, Ried LD. Evaluation of a self-report screening instrument to predict frailty outcomes in aging populations. Gerontologist 1997; 37: 182–191. 20 Freedman JD, Beck A., Robertson B. et al. Using a mailed survey to predict hospital admission among patients older than eighty. J Am Geriatr Soc 1996; 44: 689–692. 21 Winograd CH, Lindenberger EC, Chavez CM et al. Identifying hospitalized older patients at varying risk for physical performance decline: A new approach. J Am Geriatr Soc 1997; 45: 604–609. 22 Reuben DB, Wolde-Tsadik G., Pardamean B. et al. The use of targeting criteria in hospitalized HMO patients: Results from the demonstration phase of the hospitalized older persons evaluation (HOPE) study. J Am Geriatr Soc 1992; 40: 482–488. 23 Sager MA, Rudberg MA, Jalaluddin M. et al. Hospital admission risk profile (HARP): Identifying older patients at risk for functional decline following acute medical illness and hospitalization. J Am Geriatr Soc 1996; 44: 251–257. 24 Coleman EA, Wagner EH, Grothaus LC et al. Predicting hospitalization and functional decline in older health plan enrollees: Are administrative data as accurate as self-report J Am Geriatr Soc 1998; 46: 419–425. 25 Boult C., Dowd B., McCaffrey D. et al. Screening elders for risk of hospital admission. J Am Geriatr Soc 1993; 41: 811–817. 26 Pacala JT, Boult C., Reed RL, Aliberti E.. Predictive validity of the Pra instrument among older recipients of managed care. J Am Geriatr Soc 1997; 45: 614–617. 27 Pacala JT, Boult C., Boult L.. Predictive validity of a questionnaire that identifies elders at risk for hospital admission. J Am Geriatr Soc 1995; 43: 374–377. 28 Aliotta S., Boult C., Butin D. et al. Planning care for high-risk Medicare HMO members. Washington, DC: AAHP Foundation, 1997. 29 Rubenstein LZ, Stuck AE, Siu AL, Wieland D.. Impacts of geriatric evaluation and management programs on defined outcomes: Overview of the evidence. J Am Geriatr Soc 1991; 39: 8–16S. 30 Applegate WB, Blass JP, Williams TF. Instruments for the functional assessment of older patients. N Engl J Med 1990; 322: 1207–1214. 31 Solomon DH. Geriatric assessment: Methods for clinical decision-making. JAMA 1988; 259: 2450–2452. 32 Cefalu CA, Kaslow LD, Mims B., Simpson S.. Follow-up of comprehensive geriatric assessment in a family medicine residency clinic. J Am Board Fam Pract 1995; 8: 263–269. 33 Epstein AM, Hall JA, Fretwell M. et al. Consultative geriatric assessment of ambulatory patients. JAMA 1990; 263: 538–544. 34 Shah PN, Maly RC, Frank JC et al. Managing geriatric syndromes: What geriatric assessment teams recommend, what primary care physicians implement, what patients adhere to. J Am Geriatr Soc 1997; 45: 413–419. 35 Reuben DB, Maly RC, Hirsch SH et al. Physician implementation of and patient adherence to recommendations from comprehensive geriatric assessment. Am J Med 1997; 100: 444–451. 36 Applegate W., Burns R.. Geriatric medicine. JAMA 1996; 275: 1812–1813. 37 Burns R.. Beyond the black box of comprehensive geriatric assessment. J Am Geriatr Soc 1994; 42: 1130. 38 Rubenstein LZ, Bernabei R., Wieland D.. Comprehensive geriatric assessment into the breach. Aging Clin Exp Res 1994; 6: 1–3. 39 Stuck AE, Siu AL, Wieland GD, Rubenstein LZ. Comprehensive geriatric assessment: A meta-analysis of controlled trials. Lancet 1993; 342: 1032–1036. 40 Rubenstein LZ, Josephson KR, Wieland D. et al. Effectiveness of a geriatric evaluation unit: A randomized controlled trial. N Engl J Med 1984; 311: 1664–1670. 41 Silverman M., Musa D., Martin DC et al. Evaluation of outpatient geriatric assessment: A randomized multi-site trial. J Am Geriatr Soc 1995; 43: 733–740. 42 Tulloch AJ, Moore V.. A randomized controlled trial of geriatric screening and surveillance in general practice. JR Coll Gen Pract 1979; 29: 733–742. 43 Williams ME, Williams TF, Zimmer JG et al. How does the team approach to outpatient geriatric evaluation compare with traditional care: A report of a randomized clinical trial. J Am Geriatr Soc 1987; 35: 1071–1078. 44 Yeo G., Ingram L., Skurnick J., Crapo L.. Effects of a geriatric clinic on functional health and well-being of elders. J Gerontol 1987; 42: 252–258. 45 Engelhardt JB, Toseland RW, O'Donnell JC et al. The effectiveness and efficiency of outpatient geriatric evaluation and management. J Am Geriatr Soc 1996; 44: 847–856. 46 Rubin CD, Sizemore MT, Loftis PA et al. The effect of geriatric evaluation and management on Medicare reimbursement in a large public hospital: A randomized clinical trial. J Am Geriatr Soc 1992; 40: 989–995. 47 Rubin CD, Sizemore MT, Loftis PA, de Mola Loret N.. A randomized, controlled trial of outpatient geriatric evaluation and management in a large public hospital. J Am Geriatr Soc 1993; 41: 1023–1028. 48 Toseland RW, O'Donnell JC, Engelhardt JB et al. Outpatient geriatric evaluation and management: Results of randomized trial. Med Care 1996; 34: 624–640. 49 Burns R., Nichols LO, Graney MJ, Cloar FT. Impact of continued geriatric outpatient management on health outcomes of older veterans. Arch Intern Med 1995; 155: 1313–1318. 50 Kodner DL. Case management: principles, practice and performance. Brooklyn, NY: Institute for Applied Gerontology, 1993. 51 Pacala JT, Boult C., Hepburn K. et al. Case management of older adults in health maintenance organizations. J Am Geriatr Soc 1995; 43: 538–542. 52 Rich MW, Beckham V., Wittenberg C. et al. A multidisciplinary intervention to prevent the readmission of elderly patients with congestive heart failure. N Engl J Med 1995; 333: 1190–1195. 53 Weinberger M., Oddonne EZ, Henderson WG. Does increased access to primary care reduce hospital readmissions: Veterans Affairs Cooperative Study Group on primary care and hospital readmission. N Engl J Med 1996; 334: 1441–1447. 54 Hedrick SC, Inui TS. The effectiveness and cost of home care: An information synthesis. Health Serv Rev 1986; 20: 851–880. 55 Weissert WG, Hedrick SC. Lessons learned from research on effects of community-based long-term care. J Am Geriatr Soc 1994; 42: 348–353. 56 Cummings JE, Hughes SL, Weaver FM et al. Cost-effectiveness of Veterans Administration hospital-based home care. A randomized controlled trial. Arch Intern Med 1990; 150: 1274–1280. 57 Melin A., Hakansson S., Bygren L.. The cost and effectiveness of rehabilitation in the home: A study of Swedish elderly. Am J Public Health 1993; 83: 356–362. 58 Zimmer JG, Groth-Juncker A., McCusker J.. A randomized controlled trial of a home health care team. Am J Public Health 1985; 75: 134–141. 59 Wagner EH, Austin B., Von Korff M.. Improving outcomes in chronic illness. Managed Care Q 1996; 4: 12–25. 60 Beck A., Scott J., Williams P. et al. A randomized trial of group outpatient visits for chronically ill older HMO members: The cooperative health care clinic. J Am Geriatr Soc 1997; 45: 543–549. 61 Fama T., Fox P.. Efforts to improve primary care delivery to nursing home residents. J Am Geriatr Soc 1997; 45: 627–632. 62 Reuben DB, Buchanan J., Farley D. et al. Primary care of long-stay nursing home residents: A comparison of three HMO programs with fee-for-service care. J Am Geriatr Soc (abstract) 1997; 45: S99. 63 Boult C., Boult L., Kane RL. How effective is geriatrics: A review of the evidence. In: PR Katz, RL Kane, MD Mezey, eds. Quality Care in Geriatric Settings: Focus on Ethical Issues. New York: Springer, 1995, pp 87–115. 64 Hedrick SC, Rothman ML, Chapco M. et al. Summary and discussion of methods and results of the adult day health care evaluation study. Med Care 1993; 31(9 suppl): SS94–103. 65 Eng C., Pedulla J., Eleazer GP et al. Program of all-inclusive care for the elderly (PACE): An innovative model of integrated geriatric care and financing. J Am Geriatr Soc 1997; 45: 223–232. 66 Branch LG, Coulam RF, Zimmerman YA The PACE evaluation. Initial findings. Gerontologist 1995; 35: 349–359. 67 U.S. Preventive Services Task Force. U.S. Preventive Services Task Force Guide to Preventive Services, 2nd Ed. Baltimore: Williams & Wilkins, 1996. 68 Stuck AE, Aronow HU, Steiner A. et al. Trial of annual in-home comprehensive geriatric assessments for elderly people living in the community. N Engl J Med 1995; 333: 1184–1189. 69 Wagner EH, Lacroix AZ, Grothaus L. et al. Preventing disability and falls in older adults: A population-based randomized trial. Am J Public Health 1994; 84: 1800–1806. 70 Province MA, Hadley EC, Hornbrook MC et al. The effects of exercise on falls in elderly patients: A preplanned meta-analysis of the FICSIT trials. JAMA 1995; 273: 1341–1347. 71 Tinetti ME, Baker DI, McAvay G. et al. A multifactorial intervention to reduce the risk of falling among elderly people living in the community. N Engl J Med 1994; 331: 821–827. 72 Luptak MK, Boult C.. A method for increasing elders' use of advance directives. Gerontologist 1994; 34: 409–412. 73 The SUPPORT Principal Investigators. A controlled trial to improve care for seriously ill hospitalized patients: The study to understand prognoses and preferences for outcomes and risks of treatments (SUPPORT). JAMA 1995; 274: 1591–1598. 74 Health Resources and Services Administration. A national agenda for geriatric education: White papers. Washington, DC: US Govt Printing Office, 1995. Citing Literature Volume46, Issue4April 1998Pages 499-505 ReferencesRelatedInformation
Referência(s)