Geriatric Resource Teams: Equipping Primary Care Practices to Meet the Complex Care Needs of Older Adults

被引:12
作者
Buhr, Gwendolen [1 ]
Dixon, Carrissa [2 ]
Dillard, Jan [3 ,4 ]
Nickolopoulos, Elissa [3 ,4 ]
Bowlby, Lynn [3 ]
Canupp, Holly [3 ,5 ]
Matters, Loretta [6 ]
Konrad, Thomas [7 ]
Previll, Laura [1 ,8 ]
Heflin, Mitchell [1 ,8 ]
McConnell, Eleanor [1 ,6 ,8 ]
机构
[1] Duke Ctr Study Aging & Human Dev, Durham, NC 27710 USA
[2] Duke Off Clin Res, Durham, NC 27710 USA
[3] Duke Outpatient Clin, Durham, NC 27704 USA
[4] Duke Univ, Med Ctr, Dept Case Management & Clin Social Work, Durham, NC 27710 USA
[5] Duke Univ, Med Ctr, Dept Pharm, Durham, NC 27710 USA
[6] Duke Univ, Sch Nursing, Durham, NC 27710 USA
[7] Univ N Carolina, Cecil G Sheps Ctr Hlth Serv Res, Chapel Hill, NC 27516 USA
[8] Durham VA Geriatr Res Educ & Clin Ctr, Durham, NC 27705 USA
关键词
geriatrics; collaborative practice; geriatric workforce enhancement program; primary care; DEMENTIA;
D O I
10.3390/geriatrics4040059
中图分类号
R592 [老年病学]; C [社会科学总论];
学科分类号
03 ; 0303 ; 100203 ;
摘要
Primary care practices lack the time, expertise, and resources to perform traditional comprehensive geriatric assessment. In particular, they need methods to improve their capacity to identify and care for older adults with complex care needs, such as cognitive impairment. As the US population ages, discovering strategies to address these complex care needs within primary care are urgently needed. This article describes the development of an innovative, team-based model to improve the diagnosis and care of older adults with cognitive impairment in primary care practices. This model was developed through a mentoring process from a team with expertise in geriatrics and quality improvement. Refinement of the existing assessment process performed during routine care allowed patients with cognitive impairment to be identified. The practice team then used a collaborative workflow to connect patients with appropriate community resources. Utilization of these processes led to reduced referrals to the geriatrics specialty clinic, fewer patients presenting in a crisis to the social worker, and greater collaboration and self-efficacy for care of those with cognitive impairment within the practice. Although the model was initially developed to address cognitive impairment, the impact has been applied more broadly to improve the care of older adults with multimorbidity.
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页数:9
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