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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 : 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:
Publisher:
ISBN:
Category :
Languages : en
Pages : 18
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Book Description
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: 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: Institute of Medicine
Publisher: National Academies Press
ISBN: 0309040973
Category : Medical
Languages : en
Pages : 153
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Book Description
A guiding principle of the Council on Health Care Technology is a special focus on medical technology assessment measures that coincide with patient well-being, quality of health care, and quality of life. Of particular concern is care of the elderly, which constitutes a special and vulnerable patient population. This comprehensive book discusses the appropriate use of technology to minimize risks posed to the elderly patient in the delivery of health care services. It covers home and community care as well as acute hospital care, and system resources and constraints.
Author: Ronda Hughes
Publisher: Department of Health and Human Services
ISBN:
Category : Medical
Languages : en
Pages : 592
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Book Description
"Nurses play a vital role in improving the safety and quality of patient car -- not only in the hospital or ambulatory treatment facility, but also of community-based care and the care performed by family members. Nurses need know what proven techniques and interventions they can use to enhance patient outcomes. To address this need, the Agency for Healthcare Research and Quality (AHRQ), with additional funding from the Robert Wood Johnson Foundation, has prepared this comprehensive, 1,400-page, handbook for nurses on patient safety and quality -- Patient Safety and Quality: An Evidence-Based Handbook for Nurses. (AHRQ Publication No. 08-0043)." - online AHRQ blurb, http://www.ahrq.gov/qual/nurseshdbk/
Author: JEAN. HASELTINE GALIANA (WILLIAM.)
Publisher: Springer
ISBN: 9811321647
Category : Geriatric nursing
Languages : en
Pages : 218
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Book Description
"This open access book outlines the challenges of supporting the health and wellbeing of older adults around the world and offers examples of solutions designed by stakeholders, healthcare providers, and public, private and nonprofit organizations in the United States. The solutions presented address challenges including: providing person-centered long-term care, making palliative care accessible in all healthcare settings and the home, enabling aging-in-place, financing long-term care, improving care coordination and access to care, delivering hospital-level and emergency care in the home and retirement community settings, merging health and social care, supporting people living with dementia and their caregivers, creating communities and employment opportunities that are accessible and welcoming to those of all ages and abilities, and combating the stigma of aging. The innovative programs of support and care in Aging Well serve as models of excellence that, when put into action, move health spending toward a sustainable path and greatly contribute to the well-being of older adults."--Provided by publisher.
Author: Institute of Medicine
Publisher: National Academies Press
ISBN: 0309132746
Category : Medical
Languages : en
Pages : 344
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Book Description
Among the issues confronting America is long-term care for frail, older persons and others with chronic conditions and functional limitations that limit their ability to care for themselves. Improving the Quality of Long-Term Care takes a comprehensive look at the quality of care and quality of life in long-term care, including nursing homes, home health agencies, residential care facilities, family members and a variety of others. This book describes the current state of long-term care, identifying problem areas and offering recommendations for federal and state policymakers. Who uses long-term care? How have the characteristics of this population changed over time? What paths do people follow in long term care? The committee provides the latest information on these and other key questions. This book explores strengths and limitations of available data and research literature especially for settings other than nursing homes, on methods to measure, oversee, and improve the quality of long-term care. The committee makes recommendations on setting and enforcing standards of care, strengthening the caregiving workforce, reimbursement issues, and expanding the knowledge base to guide organizational and individual caregivers in improving the quality of care.
