Purpose: The purpose of the study was to understand better the clinical collaboration process among primary care physicians (PCPs), case managers (CMs), and geriatricians in integrated models of care. Methods: We conducted a qualitative study with semistructured interviews. A purposive sample of 35 PCPs, 7 CMs, and 4 geriatricians was selected in…

Purpose: The Gentle Persuasive Approaches (GPA) curriculum was developed as an adjunct to other educational initiatives that were part of Ontario, Canada's Alzheimer Strategy. GPA emphasizes that an individual's unique personal history has a direct application to the interpretation of and response to their behavior. It incorporates strategies into…

Reports data on admissions, discharges, and changes in health status of eight admission cohorts to nursing homes in a jurisdiction with universally-insured nursing home and home care services. The findings are compared to U.S. studies and disclose differences which may reflect differences in payment mechanisms and admission policies. (Author/JAC)

Evaluated prognostic validity of clinical and psychometric variables in psychogeriatric inpatients. Divided elderly patients into three outcome groups: nondischarged (n=29), discharged-readmitted (n=38), and discharged-nonreadmitted (n=67). Discriminant analysis of data yielded two predictive functions, which appeared to represent physical status…

Alternatives to long-stay patient back-ups include building more beds of all types, changes in placement policies, and continuing hospital care for older adults. Manitoba's policies have resulted in redistributing the health dollar towards the geriatric patient. (JAC)