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首页> 外文期刊>Journal of the American Geriatrics Society >Preliminary Data from the Caring for Older Adults and Caregivers at Home (COACH) Program: A Care Coordination Program forHome-Based Dementia Care and Caregiver Support in aVeterans Affairs Medical Center
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Preliminary Data from the Caring for Older Adults and Caregivers at Home (COACH) Program: A Care Coordination Program forHome-Based Dementia Care and Caregiver Support in aVeterans Affairs Medical Center

机译：老年人护理和在家照顾者（COACH）计划的初步数据：一项退伍军人事务医疗中心的家庭痴呆症护理和照顾者支持的护理协调计划

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Caring for Older Adults and Caregivers at Home (COACH) is an innovative care coordination program of the Durham Veteran's Affairs Medical Center in Durham, North Carolina, that provides home-based dementia care and caregiver support for individuals with dementia and their family caregivers, including attention to behavioral symptoms, functional impairment, and home safety, on a consultation basis. The objectives of this study were to describe the COACH program in its first 2years of operation, assess alignment of program components with quality measures, report characteristics of program participants, and compare rates of placement outside the home with those of a nontreatment comparison group using a retrospective cohort design. Participants were community-dwelling individuals with dementia aged 65 and older who received primary care in the medical center's outpatient clinics and their family caregivers, who were enrolled as dyads (n=133), and a control group of dyads who were referred to the program and met clinical eligibility criteria but did not enroll (n=29). Measures included alignment with Dementia Management Quality Measures and time to placement outside the home during 12months of follow-up after referral to COACH. Results of the evaluation demonstrated that COACH aligns with nine of 10 clinical process measures identified using quality measures and that COACH delivers several other valuable services to enhance care. Mean time to placement outside the home was 29.6 +/- 14.3weeks for both groups (P=.99). The present study demonstrates the successful implementation of a home-based care coordination intervention for persons with dementia and their family caregivers that is strongly aligned with quality measures.
机译：在家中照顾老年人和照顾者（COACH）是北卡罗来纳州达勒姆市达勒姆退伍军人事务医疗中心的一项创新护理协调计划，该计划为患有痴呆症的人及其家庭照顾者提供家庭痴呆症护理和照顾者支持，包括在咨询的基础上注意行为症状，功能障碍和家庭安全。这项研究的目的是描述COACH计划在运营的最初2年中，评估计划组成部分与质量度量的一致性，报告计划参与者的特征，并使用非治疗比较组的家庭外安置比率进行比较。回顾性队列设计。参加者是年龄65岁及以上的痴呆症社区居民，他们在医疗中心的门诊诊所及其家庭护理人员中接受了初级保健，并被纳入了成年组（n = 133），并有对照组的成年组参加了该计划。且符合临床入围标准，但未入组（n = 29）。措施包括与痴呆症管理质量措施保持一致，并在转诊至COACH后的12个月内进行随访。评估结果表明，COACH符合使用质量度量确定的10个临床过程度量中的9个，并且COACH还提供了其他一些有价值的服务来增强护理。两组的平均安置时间为29.6 +/- 14.3周（P = .99）。本研究表明，针对痴呆症患者及其家庭护理人员的家庭护理协调干预措施已成功实施，这与质量措施高度一致。

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