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Friday, July 24, 2020 | History

1 edition of Organizational issues in the delivery of primary care to older Americans found in the catalog.

Organizational issues in the delivery of primary care to older Americans

Organizational issues in the delivery of primary care to older Americans

articles from the conference "Aging and primary care : organizational issues in the delivery of health care to older Americans" March 4-5, 1996, Washington, DC, sponsored by the Agency for Health Care Policy and Research and the National Institute on Aging

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Published by American College of Healthcare Executives in Chicago, IL .
Written in English

    Subjects:
  • Aged -- Medical care -- Congresses.,
  • Aged -- Medical care -- United States -- Congresses.,
  • Primary care (Medicine) -- United States -- Congresses.

  • Edition Notes

    Other titlesAging and primary care
    Statement Marcia G. Ory, James Cooper, and Albert L. Siu, guest editors.
    SeriesHealth services research -- v. 33, no. 2 part II (June 1998), Health services research -- v. 33, no. 2, pt. 2.
    ContributionsOry, Marcia G., Siu, Albert L. 1954-, Cooper, James, 1944-, United States. Agency for Health Care Policy and Research., National Institute on Aging.
    The Physical Object
    Paginationvi, p. 287-433 ;
    Number of Pages433
    ID Numbers
    Open LibraryOL22367525M

    MEDLINE, Embase and SciSearch were searched for publications on avoidable hospitalization and primary care. Studies were included if peer reviewed, written in English, published between January and November , conducted in high income countries, identified hospitalization for ACSC as outcome measures and researched organization characteristics of primary care.   Address physician shortages. Grow the clinical workforce by expanding the number of available graduate medical education residency slots, expand medical school loan-forgiveness programs, and remove barriers to physician immigration for foreign-trained physicians to practice in the U.S.. Telehealth and remote patient monitoring will become an essential, cost-effective and reliable means .

      According to the United States Census Bureau, the projected estimate of total African Americans in was million, a percent increase from 1 A report released from the Centers for Disease Control and Prevention noted a reduction in mortality rates among African Americans aged 65 and older. 2 Younger African Americans are living. Long-term care also includes community services such as meals, adult day care, and transportation services. These services may be provided free or for a fee. People often need long-term care when they have a serious, ongoing health condition or disability. The need for long-term care can arise suddenly, such as after a heart attack or stroke.

    This book provides a comprehensive and systematic state-of-the science review of major primary care delivery models, how they address specific needs of older adults, and available evidence for their efficacy. Written by experts in the field, this book explores the patient-centered medical home model (PCMH) in depth and dives into the. The medical home model holds promise as a way to improve health care in America by transforming how primary care is organized and delivered. Building on the work of a large and growing community, the Agency for Healthcare Research and Quality (AHRQ) defines a medical home not simply as a place but as a model of the organization of primary care.


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Organizational issues in the delivery of primary care to older Americans Download PDF EPUB FB2

Interorganizational factors affecting the delivery of primary care to older Americans. A D Kaluzny, H S Zuckerman, and D J Rabiner Department of Health Policy and Administration, School of Public Health, University of North Carolina at Chapel Hill, by: Abstract.

OBJECTIVE: To explore how internal factors, such as organizational size, mission, ownership, and managerial communication and control structures, affect the delivery of primary care to older Americans across a wide variety of practice settings: ambulatory practices, hospitals, nursing homes, and home healthcare agencies.

The definition of primary care is a normative definition; that is, it defines what the committee believes the function of primary care should r the elements of this definition can be achieved and whether primary care can assume its proper role in the delivery of health care will be determined in a world of health care that is being reshaped by the forces described in Chapter 1.

Population trends are driving an undeniable imperative: The United States must begin training its primary care physicians to provide higher-quality, more cost-effective care to older people with ch Cited by:   Next we discuss primary health care use by older Australians and the types of services accessed.

A main theme in the chapter is the lack of co-ordination between the health and aged care system in the delivery of primary health care services to older people, and the need for integrated care that addresses issues of multi-morbidity and multi Author: Colette Browning, Jenny Davis, Shane Thomas, Shane Thomas, Shane Thomas.

The impact of health behaviors and lifestyles on health outcomes is undisputed [] and its individual, social, environmental and cultural determinants are well known [].Primary health care (PHC) professionals have many opportunities to promote healthy behaviors in patients with effective interventions [3, 4].However, healthy lifestyle promotion is far from being integrated in routine primary.

Problems facing primary care. Many of the issues and concerns raised in the past few years remain—namely, dissatisfaction, long hours, high stress, poor reimbursement, and erosion of scope of practice.

7,8 These are often just symptoms, though, of the greater overall failure in the US in deciding the purpose of the healthcare system. It currently operates as a marketplace darling. Community Resources for Older Adults provides comprehensive, up-to-date information on programs, services, and policies pertaining to older adults.

Authors Robbyn R. Wacker and Karen A. Roberto build reader awareness of programs and discuss how to better understand help-seeking behavior, as well as explain ways to take advantage of the resources available to older adults.

Book: How to Deal with 21 Critical Issues Facing Aging Seniors (). Aging seniors are often confounded by the complexity of issues they face. This book takes a comprehensive approach to provide solutions to the many challenges that face the elderly. Primary Care: The Heart of Medicine.

Where is primary care today. We seem to have veered far from the country doc approach. Or maybe we haven’t veered as far as we think. Just like in the old days, we still have the opportunity to affect lives, help patients create change, and be there for people in.

Issue 2: Too Few Primary Health Care Providers are Educated to Provide Geriatric-Focused Care. The current shortage of nurses is expected to accelerate in coming years, and the impending lack of nurses to care for the nation’s older adults will be a critical health care issue.

The exponential growth of the 85 and older population, extended years of disability, increased ethnic/racial diversity, projected downward trend in elderly economic status, changes in the healthcare delivery system, and a decline in the population most likely to provide formal care all point to an increased demand for family care.

Patients play a sizable role in their own care, not just as recipients of care services but also as prominent actors in the delivery process. Moreover, family members, friends, and other unpaid caregivers provide the back bone for much of the care that is received by older adults in the United States.

This chapter discusses the need to support patients and caregivers through a number of means. Care management programs have become more widely adopted as health systems try to improve the coordination and integration of services across the continuum of care, especially for frail older adult.

It is anticipated that the number of older adults with mental and behavioral health problems will almost quadruple, from 4 million in to 15 million in APA advocates for the role of psychologists in helping older persons and their families overcome problems, enhance well-being and achieve maximum potential during later life.

1. Introduction. Primary care serves as the cornerstone for building a strong healthcare system that ensures positive health outcomes and health equity [1, 2].In the past century, there has been a transition in healthcare from focusing on disease-oriented etiologies to examining the interacting influences of factors rooted in culture, race/ethnicity, policy, and environment.

There are over primary care PBRNs in the United States today. Practice facilitation. Practice facilitation is a support service provided to a primary care practice by a trained individual or team, using a range of quality improvement and practice improvement approaches to build the internal capacity of a practice to improve over time.

Similar studies within primary care have the potential to impact a broader spectrum of the American population. In a given year most Americans visit a primary care physician (Benson and Marano ), with more than a quarter of these visits to family medicine practices (Woodwell ).

Primary care practices, including family medicine, general. Increase the early identification and treatment of older adults with mental health problems through outreach and the provision of services offered in places older adults frequent, such as primary care settings, congregate meal and senior centers, residential settings, libraries, and other community sites.

The Substance Abuse and Mental Health Services Administration (SAMHSA) and Administration on Aging (AoA) commissioned a series of Issue Briefs to address behavioral health issues that are important to older Americans.

The Issue Briefs identify key information and opportunities for action that can improve the lives of older people. Get this from a library! Managing older people in primary care: a practical guide. [Margot Gosney; Tess Harris;] -- Packed full of practical and down to earth advice for clinicians specialising in the care of older people, this book examines real problems that present on a day-to-day basis in the primary care.

Doody's Medical Book Review • Strikes the perfect balance between brevity and clinical necessity • Consolidates information from nationally recognized government agencies, medical and scientific organizations, and expert panels into concise, easy to apply summaries • Covers primary care topics in both the ambulatory and hospital settingsReviews: The committee was charged with examining this major trend in health care delivery and resulting challenges from only one of many perspectives: the study of human factors.

From the outset it was clear that the dramatic and evolving change in health care practice and policies presents a broad array of opportunities and problems.