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Author: Robert Henry Brook
Publisher: RAND Corporation
ISBN: 9780833010100
Category : Social Science
Languages : en
Pages : 58
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Book Description
The increase in the over-65 population and the rapid rise in health care costs have combined to create pressures on the health care system, giving rise to suggestions that health care services be rationed to offset increased expenditures. This report suggests that, before the rationing of health care is even discussed, it is necessary to determine whether (1) the care that we are currently paying for is appropriate to the needs and wants of the elderly; (2) the elderly are receiving care that maximizes their ability to function; (3) reductions in inappropriate use result in substantial savings; and (4) it is possible to develop a clinical-epidemiologic model that will eliminate most inappropriate care while minimizing a decrease in appropriate care. The report analyzes the literature regarding appropriateness of acute care provided to the elderly and, using this analysis, suggests policy options that could promote more appropriate care. The authors discuss three frameworks that can be used to measure appropriateness, and use these approaches to categorize the literature. They conclude that there is a substantial problem in matching acute care services to the needs of the elderly.
Author: Robert Henry Brook
Publisher: RAND Corporation
ISBN: 9780833010100
Category : Social Science
Languages : en
Pages : 58
Get Book Here
Book Description
The increase in the over-65 population and the rapid rise in health care costs have combined to create pressures on the health care system, giving rise to suggestions that health care services be rationed to offset increased expenditures. This report suggests that, before the rationing of health care is even discussed, it is necessary to determine whether (1) the care that we are currently paying for is appropriate to the needs and wants of the elderly; (2) the elderly are receiving care that maximizes their ability to function; (3) reductions in inappropriate use result in substantial savings; and (4) it is possible to develop a clinical-epidemiologic model that will eliminate most inappropriate care while minimizing a decrease in appropriate care. The report analyzes the literature regarding appropriateness of acute care provided to the elderly and, using this analysis, suggests policy options that could promote more appropriate care. The authors discuss three frameworks that can be used to measure appropriateness, and use these approaches to categorize the literature. They conclude that there is a substantial problem in matching acute care services to the needs of the elderly.
Author:
Publisher:
ISBN:
Category :
Languages : en
Pages : 18
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Book Description
Author:
Publisher:
ISBN:
Category : Older people
Languages : en
Pages : 32
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Book Description
This Note analyzes the literature regarding appropriateness of acute care provided to the elderly. The authors identified 17 articles that explicitly cited appropriate or inappropriate care (including undercare, overcare, and misuse) provided in hospital and ambulatory settings and for procedures, and 19 articles that presented data on the appropriateness of medication use in the elderly. Virtually every study found at least double-digit levels of inappropriate care. Perhaps as much as one-fifth to one-quarter of acute hospital services or procedures were felt to be used for equivocal or inappropriate reasons, and two-fifths to one-half of the medications studied were overused in outpatients. The few studies that examined underuse or misuse of services also documented the existence of these phenomena. This was especially true for the ambulatory care of chronic physical and mental conditions and concerned the use of low-cost technologies (visits, preventive services, some medications). Thus, the authors conclude that there appears to be a substantial problem in matching acute services to the needs of elderly patients. This mismatch occurs both in terms of overuse and underuse, at least for areas where research has been conducted.
Author: Rand Corporation
Publisher:
ISBN:
Category :
Languages : en
Pages : 39
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Book Description
Author: Michael L. Malone
Publisher: Springer
ISBN: 1493910256
Category : Medical
Languages : en
Pages : 276
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Book Description
Acute Care for Elders (ACE) is a model of care designed to improve functional outcomes and to improve the processes for the care of older patients. This model includes: an environment of care designed to promote improved function for older patients; an interdisciplinary team that works together to identify/address the vulnerabilities of the older patients; nursing care plans for prevention of disability; early planning to help prepare the patient to return home and a review of medical care to prevent iatrogenic illness. Acute Care for Elders: A Model for Interdisciplinary Care is an essential new resource aimed at assisting providers in developing and sustaining an ACE program. The interdisciplinary approach provides an introduction to the key vulnerabilities of older adults and defines the lessons learned from the Acute Care for Elders model. Expertly written chapters describe critical aspects of ACE: the interdisciplinary approach and the focus on function. The fundamental principles of ACE described in this book will further assist hospital leaders to develop, implement, sustain and disseminate the Acute Care for Elders model of care. Acute Care for Elders: A Model for Interdisciplinary Care is of great value to geriatricians, hospitalists, advance practice nurses, social workers and all others who provide high quality care to older patients.
Author: Anna Renom Guiteras
Publisher:
ISBN:
Category :
Languages : en
Pages : 0
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Book Description
Author: Institute of Medicine
Publisher: National Academies Press
ISBN: 0309131952
Category : Medical
Languages : en
Pages : 316
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Book Description
As the first of the nation's 78 million baby boomers begin reaching age 65 in 2011, they will face a health care workforce that is too small and woefully unprepared to meet their specific health needs. Retooling for an Aging America calls for bold initiatives starting immediately to train all health care providers in the basics of geriatric care and to prepare family members and other informal caregivers, who currently receive little or no training in how to tend to their aging loved ones. The book also recommends that Medicare, Medicaid, and other health plans pay higher rates to boost recruitment and retention of geriatric specialists and care aides. Educators and health professional groups can use Retooling for an Aging America to institute or increase formal education and training in geriatrics. Consumer groups can use the book to advocate for improving the care for older adults. Health care professional and occupational groups can use it to improve the quality of health care jobs.
Author:
Publisher:
ISBN:
Category : Consumer protection
Languages : en
Pages : 806
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Book Description
Author: United States. Congress. House. Committee on Ways and Means. Subcommittee on Health
Publisher:
ISBN:
Category : Medical
Languages : en
Pages : 100
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Book Description
Author: John Herbert Growdon
Publisher: Elsevier Health Sciences
ISBN: 075067542X
Category : Medical
Languages : en
Pages : 456
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Book Description
This volume in the Blue Books of Neurology series provides you with rapid access to practical, clinical guidance on the diagnosis and treatment of all forms of dementia, including Alzheimer's disease, dementia with Lewy bodies, Parkinson's disease, and many others. Organized by the most common neurodegenerative diseases, it reflects new insights regarding commonalities among the neurodegenerative diseases, and clusters them according to their dominant molecular pathologic signatures, so you can best treat any dementia you see. Differentiate among various forms of dementia and provide the appropriate management strategy. Correlate neuroimaging with neuropsychological testing to form more accurate diagnoses. Administer the latest approved drugs to improve your patients' brain function. A new two-color design and full-color images throughout helps you access information more easily. New chapters and new authors help you incorporate the latest information and fresh perspectives into your practice.
