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: Elder self-neglect (ESN) represents half or more of all cases reported to adult protective services. ESN directly affects older adults and also their families, neighbors, and the larger communities around them. ESN has public health implications and is associated with higher than expected mortality rates, hospitalizations, long-term care…

Purpose: The purpose of this study was to examine racial/ethnic differences in the relationship between functional disability and the use of health care services in a nationally representative sample of older adults by using the Andersen behavioral model of health services utilization. Design and Methods: The study used 12 years of longitudinal…

Discusses literature on the physician-elderly patient-companion triad and proposes conceptual framework and methodological approach for understanding the companion's presence during the geriatric visit. Suggests agenda for both clinical and social science research. (Author)

Examines geriatric health teams, discussing four dimensions of models for professional functioning (logic of assessment, focus of efforts, locus of responsibility, and pace of action) and three dimensions of models for team functioning (focus of attention, decision-making style, and beliefs about interprofessional dependence). (Author/NB)

Suggests an innovative group structure and process for integrating health care providers and elderly consumers in community health care planning, implementation, and evaluation. The Elderly Health Advocacy Group is described and its developmental processes outlined. Further demonstration for long-range impact is suggested. (Author)

Two models of geriatric day care can be empirically discriminated using data from a field study of 10 programs. Programs in both models show some tendency to adapt their features to existing environments. Descriptions of both models are presented. (Author)

Examined models for predicting treatment decisions of physicians, nurses, and social workers within acute and long-term care settings. Elicited treatment choices to vignettes regarding decisions to allocate scarce medical resource and to withhold treatment from debilitated patient. Primarily medical factors predicted decision to allocate…

Triage is unique because it includes several functions under a single health care delivery model. Clients' morale improved with their sense of control. Family support systems were enhanced. Costs were reasonable as was the reimbursement system. (JAC)

Presents an overview of the most distinctive psychological theories of aging promulgated after World War II. Groups theoretical developments into three periods: (1) Classical Period, which includes developmental tasks/activity theory; (2) Modern Period, which includes theories on life-span development and aging; and (3) New Period, represented by…

A training model is formulated and related to a theoretical perspective of the self-concept. Some judgments regarding the impact of short-term training are made. Major research issues and alternative research strategies are presented. Paper presented at 27th Annual Meeting of Gerontological Society, Portland, 1974. (Author)

Suggests geriatric foster care is among the least restrictive alternatives to institutional placement. Outlines the basic prototype principles, including broadly defined client population, maximum accessibility in referral sources, flexible use of existing local services, and uniform statewide quality guidelines. Discusses indicators of success…

Analyzes the development of thinking in the field of aging as a sequence of two transformations in social gerontological theorizing: (1) when social scientists laid out a formal theory of aging for the first time; and (2) a recognition of theory as a reflection of the recognition itself. Examines specific theoretical approaches. (RJM)

Ohio's initiative in geriatric education shows that the federal government need not be the initiator in charting new directions. Diversity of medical education and practice can be an asset. The Ohio model provides a replicable means of transition and holds great promise for other states. (Author)

Presents a model for understanding the socialization process of physicians, nurses, and social workers as a way for acquiring a professional identity based on values and meanings. Explores the literature as it relates to this framework and describes the educational implications of these patterns for professionals who must work together. (RJM)