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DELIVERING PATIENT-CENTERED CARE TO GERIATRIC POPULATIONS: VETERANS HEALTH ADMINISTRATION PRACTICE INNOVATION

机译:为病人提供以病人为中心的护理:退伍军人的健康管理实践创新

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摘要

The patient centered medical home (PCMH) model for primary health care delivery is associated with increased patient satisfaction with and access to care, as well as greater care coordination for the general population. Comparatively less is understood about the extent to which PCMH tailored to geriatric populations can achieve comparable results. In this symposium, we will present the results of five recent studies conducted within the Veterans Health Administration system which examine the care practices, team composition, and costs associated with implementation and provision of geriatric care and geriatric PMCH (i.e., GeriPACTS). First, Dr. Nicosia’s team will discuss results of an implementation science study to improve functional status measurement— a cornerstone of geriatrics—for older adults in primary care clinics. Next. Dr. Sullivan’s group will share results of a national study of GeriPACT implementation, with a focus on team composition, empanelment processes, and panel characteristics. Dr. Mosely will discuss how her GeriPACT tailored and implemented the VHA Whole Health framework which individualizes psychosocially-grounded health goals and action steps to meet the needs of older adults. Dr. Moye and colleagues will report on findings from recent quantitative research examining integration of mental health care within GeriPACT, and Dr. Intrator will share results from a national data base and propensity techniques to compare GeriPACT costs to those associated with general population primary care teams.
机译:用于初级卫生保健提供的以患者为中心的医疗之家(PCMH)模型与患者对护理的满意度和获得的机会增加,以及对普通人群的护理协调性更高。对于老年患者量身定制的PCMH可以达到可比结果的程度了解的相对较少。在本专题讨论会中,我们将介绍在退伍军人卫生管理局系统中进行的五项近期研究的结果,这些研究检查了护理实践,团队组成以及与实施和提供老年护理和老年PMCH(即GeriPACTS)相关的费用。首先,尼科西亚博士的团队将讨论一项实施科学研究的结果,以改善初级保健诊所中老年人的功能状态测量(老年病的基石)。下一个。沙利文(Sullivan)小组将分享GeriPACT实施的全国性研究结果,重点是团队组成,人员配备流程和专家组特征。 Mosely博士将讨论她的GeriPACT如何量身定制和实施VHA整体健康框架,该框架个性化基于社会心理的健康目标和行动步骤,以满足老年人的需求。 Moye博士及其同事将报告近期定量研究的结果,这些定量研究考察了GeriPACT中精神卫生保健的整合,Intrator博士将分享国家数据库和倾向性技术的结果,以比较GeriPACT费用与普通人群初级保健团队的相关费用。

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