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Direct linkRodriguez-Sanchez, Emiliano; Patino-Alonso, Maria C.; Mora-Simon, Sara; Gomez-Marcos, Manuel A.; Perez-Penaranda, Anibal; Losada-Baltar, Andres; Garcia-Ortiz, Luis – Gerontologist, 2013
Purpose: To assess, in the context of Primary Health Care (PHC), the effect of a psychological intervention in mental health among caregivers (CGs) of dependent relatives. Design and Methods: Randomized multicenter, controlled clinical trial. The 125 CGs included in the trial were receiving health care in PHC. Inclusion criteria: Identifying…
Descriptors: Intervention, Caregivers, Mental Health, Primary Health Care
Fishman, Paul A.; Johnson, Eric A.; Coleman, Kathryn; Larson, Eric B.; Hsu, Clarissa; Ross, Tyler R.; Liss, David; Tufano, James; Reid, Robert J. – Gerontologist, 2012
Purpose: To assess the impact on health care cost and quality among seniors of a patient-centered medical home (PCMH) pilot at Group Health Cooperative, an integrated health care system in Washington State. Design and Methods: A prospective before-and-after evaluation of the experience of seniors receiving primary care services at 1 pilot clinic…
Descriptors: Evidence, Patients, Clinics, Older Adults
de Stampa, Matthieu; Vedel, Isabelle; Bergman, Howard; Novella, Jean-Luc; Lechowski, Laurent; Ankri, Joel; Lapointe, Liette – Gerontologist, 2013
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…
Descriptors: Foreign Countries, Interprofessional Relationship, Teamwork, Interdisciplinary Approach
Davis, Melinda M.; Bond, Lynne A.; Howard, Alan; Sarkisian, Catherine A. – Gerontologist, 2011
Purpose: Expectations regarding aging (ERA) in community-dwelling older adults are associated with personal health behaviors and health resource usage. Clinicians' age expectations likely influence patients' expectations and care delivery patterns; yet, limited research has explored clinicians' age expectations. The Expectations Regarding Aging…
Descriptors: Medical Education, Physicians, Health Behavior, Older Adults
Fortinsky, Richard H.; Zlateva, Ianita; Delaney, Colleen; Kleppinger, Alison – Gerontologist, 2010
Purpose: This article explores primary care physicians' (PCPs) self-reported approaches and barriers to management of patients with dementia, with a focus on comparisons in dementia care practices between PCPs in 2 states. Design and Methods: In this cross-sectional study, questionnaires were mailed to 600 randomly selected licensed PCPs in…
Descriptors: Physicians, Alzheimers Disease, Identification, Patients
Arean, Patricia; Hegel, Mark; Vannoy, Steven; Fan, Ming-Yu; Unuzter, Jurgen – Gerontologist, 2008
Purpose: We compared a primary-care-based psychotherapy, that is, problem-solving therapy for primary care (PST-PC), to community-based psychotherapy in treating late-life major depression and dysthymia. Design and Methods: The data here are from the IMPACT study, which compared collaborative care within a primary care clinic to care as usual in…
Descriptors: Problem Solving, Patients, Program Effectiveness, Data Analysis
Van Houtven, Courtney Harold; Jeffreys, Amy S.; Coffman, Cynthia J. – Gerontologist, 2008
Purpose: The Veterans Affairs or VA health care system is in the process of significantly expanding home health care (HOC) nationwide. We describe VA HHC use in 2003 for all VA HHC users from 2002; we examine whether VA utilization across a broad spectrum of services differed for a sample of VA HHC users and their propensity-score-matched…
Descriptors: Health Facilities, Respite Care, Veterans, Health Services
Rose, Julia Hannum; Bowman, Karen F.; O'Toole, Elizabeth E.; Abbott, Katherine; Love, Thomas E.; Thomas, Charles; Dawson, Neal V. – Gerontologist, 2007
Purpose: There is a growing consensus that quality of care for frail elders should include family and be evaluated in terms of patient-centered, family-focused care (PCFFC). Family caregivers are in a unique and sometimes sole position to evaluate such care. In the context of caring for physically frail elders, this study examined the extent to…
Descriptors: Caregivers, Veterans, Factor Analysis, Clinics
Luptak, Marilyn; Kaas, Merrie J.; Artz, Margaret; McCarthy, Teresa – Gerontologist, 2008
Purpose: We describe and evaluate a project designed to pilot test an evidence-based clinical intervention for assessing and treating depression in older adults in rural primary care clinics. Project ADAPT--Assuring Depression Assessment and Proactive Treatment--utilized existing primary care resources to overcome barriers to sustainability…
Descriptors: Intervention, Public Health, Training, Geriatrics
McGuire, Lisa C.; Rao, Jaya K.; Anderson, Lynda A.; Ford, Earl S. – Gerontologist, 2007
Purpose: This study examined the association between cognitive functioning and completion of a durable power of attorney for health care. Design and Methods: Participants were from the Second Longitudinal Study on Aging (LSOA II), a nationally representative sample of community-dwelling persons who were at least 70 years of age at the time of…
Descriptors: Older Adults, Lawyers, Independent Living, Confidential Records
Kane, Robert L.; Mach, John R., Jr. – Gerontologist, 2007
Purpose: The purpose of this article is to explore how medical care is delivered to older people in assisted living (AL) settings and to suggest ways for improving it. Design and Methods: We present a review of the limited research available on health care for older AL residents and on building testable models of better ways to organize primary…
Descriptors: Client Characteristics (Human Services), Medical Services, Primary Health Care, Patients
Gum, Amber M.; Arean, Patricia A.; Hunkeler, Enid; Tang, Lingqi; Katon, Wayne; Hitchcock, Polly; Steffens, David C.; Dickens, Jeanne; Unutzer, Jurgen – Gerontologist, 2006
Purpose: For depressed older primary care patients, this study aimed to examine (a) characteristics associated with depression treatment preferences; (b) predictors of receiving preferred treatment; and (c) whether receiving preferred treatment predicted satisfaction and depression outcomes. Design and Methods: Data are from 1,602 depressed older…
Descriptors: Depression (Psychology), Primary Health Care, Patients, Older Adults
Yaggy, Susan D.; Michener, J. Lloyd; Yaggy, Duncan; Champagne, Mary T.; Silberberg, Mina; Lyn, Michelle; Johnson, Fred; Yarnall, Kimberly S. H. – Gerontologist, 2006
Purpose: To promote health and maintain independence, Just for Us provides financially sustainable, in-home, integrated care to medically fragile, low-income seniors and disabled adults living in subsidized housing. Design and Methods: The program provides primary care, care management, and mental health services delivered in patient's homes by a…
Descriptors: Older Adults, Medical Services, Nursing Homes, Disabilities
