Efforts to improve primary care delivery to nursing home residents

被引：25

作者：

Fama, T ^{[1
]}

Fox, PD ^{[1
]}

机构：

[1] PDF INC,CHEVY CHASE,MD

来源：

JOURNAL OF THE AMERICAN GERIATRICS SOCIETY | 1997年 / 45卷 / 05期

关键词：

D O I：

10.1111/j.1532-5415.1997.tb03100.x

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：

OBJECTIVE: To describe a primary care practice model used by health maintenance organizations (HMOs) that serve Medicare beneficiaries to improve the provision of primary care to nursing home residents. PARTICIPANTS: Medicare beneficiaries who reside in nursing homes and who are enrolled in HMOs. CONCLUSION: Several HMOs are using physician-nurse practitioner teams to provide primary care to nursing home residents. The potential to improve the delivery of these services in nursing homes, particularly to long-stay residents, is apparent. However, obstacles arise in developing this practice model in HMOs, including difficulty recruiting both nurse practitioners and physicians and the lack of HMO-based research on the effects of such a model.

引用

收藏

页码：627 / 632

页数：6

相关论文

共 19 条

[1] NURSING-HOME RESIDENTS NEED PHYSICIANS SERVICES [J].

BESDINE, RW ;

RUBENSTEIN, LZ ;

CASSEL, C .

ANNALS OF INTERNAL MEDICINE, 1994, 120 (07) :616-618

[2] THE PHYSICIAN DECISION-MAKING PROCESS IN TRANSFERRING NURSING-HOME PATIENTS TO THE HOSPITAL [J].

BROOKS, S ;

WARSHAW, G ;

HASSE, L ;

KUES, JR .

ARCHIVES OF INTERNAL MEDICINE, 1994, 154 (08) :902-908

[3]

Burl J B, 1991, HMO Pract, V5, P139

[4] IMPACT OF GERIATRIC NURSE PRACTITIONERS ON NURSING-HOME RESIDENTS FUNCTIONAL STATUS, SATISFACTION, AND DISCHARGE OUTCOMES [J].

GARRARD, J ;

KANE, RL ;

RADOSEVICH, DM ;

SKAY, CL ;

ARNOLD, S ;

KEPFERLE, L ;

MCDERMOTT, S ;

BUCHANAN, JL .

MEDICAL CARE, 1990, 28 (03) :271-283

[5] ACADEMIC AFFILIATION WITH A NURSING-HOME - IMPACT ON PATIENT OUTCOME [J].

JAHNIGEN, DW ;

KRAMER, AM ;

ROBBINS, LJ ;

KLINGBEIL, H ;

DEVORE, P .

JOURNAL OF THE AMERICAN GERIATRICS SOCIETY, 1985, 33 (07) :472-478

[6] EFFECTS OF A GERIATRIC NURSE PRACTITIONER ON PROCESS AND OUTCOME OF NURSING-HOME CARE [J].

KANE, RL ;

GARRARD, J ;

SKAY, CL ;

RADOSEVICH, DM ;

BUCHANAN, JL ;

MCDERMOTT, SM ;

ARNOLD, SB ;

KEPFERLE, L .

AMERICAN JOURNAL OF PUBLIC HEALTH, 1989, 79 (09) :1271-1277

[7] IMPROVING PRIMARY CARE IN NURSING-HOMES [J].

KANE, RL ;

GARRARD, J ;

BUCHANAN, JL ;

ROSENFELD, A ;

SKAY, C ;

MCDERMOTT, S .

JOURNAL OF THE AMERICAN GERIATRICS SOCIETY, 1991, 39 (04) :359-367

[8] IS GOOD NURSING-HOME CARE FEASIBLE [J].

KANE, RL ;

JORGENSEN, LA ;

TETEBERG, B ;

KUWAHARA, J .

JAMA-JOURNAL OF THE AMERICAN MEDICAL ASSOCIATION, 1976, 235 (05) :516-519

[9]

KAVESH W, 1990, J AGING SOC POLICY, V2, P87

[10] FACTORS CONTRIBUTING TO THE HOSPITALIZATION OF NURSING-HOME RESIDENTS [J].

KAYSERJONES, JS ;

WIENER, CL ;

BARBACCIA, JC .

GERONTOLOGIST, 1989, 29 (04) :502-510