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Geriatric Patient-Aligned Care Teams in Department of Veterans Affairs: How Are They Structured?
Sullivan, Jennifer L; Shin, Marlena H; Adjognon, Omonyêlé L; Shay, Kenneth; Harvey, Kimberly; Intrator, Orna; Yaksic, Enzo; Moye, Jennifer; Solimeo, Samantha.
Afiliación
  • Sullivan JL; Center for Healthcare Organization and Implementation Research, VA Boston Healthcare System, 150 S. Huntington Ave (152M), Boston, MA 02130, USA; marlena.shin@va.gov (M.H.S.); omonyele.adjognon@va.gov (O.L.A.); kimberly.harvey@va.gov (K.H.); jennifer.moye@va.gov (J.M.).
  • Shin MH; Department of Health Law, Policy and Management, Boston University School of Public Health, 715 Albany St, Talbot Building, Boston, MA 02118, USA.
  • Adjognon OL; Center for Healthcare Organization and Implementation Research, VA Boston Healthcare System, 150 S. Huntington Ave (152M), Boston, MA 02130, USA; marlena.shin@va.gov (M.H.S.); omonyele.adjognon@va.gov (O.L.A.); kimberly.harvey@va.gov (K.H.); jennifer.moye@va.gov (J.M.).
  • Shay K; Center for Healthcare Organization and Implementation Research, VA Boston Healthcare System, 150 S. Huntington Ave (152M), Boston, MA 02130, USA; marlena.shin@va.gov (M.H.S.); omonyele.adjognon@va.gov (O.L.A.); kimberly.harvey@va.gov (K.H.); jennifer.moye@va.gov (J.M.).
  • Harvey K; US Department of Veterans Affairs, Office of Geriatrics and Extended Care (GEC) (10NC4), Washington, DC 20420, USA; kenneth.shay@va.gov.
  • Intrator O; Center for Healthcare Organization and Implementation Research, VA Boston Healthcare System, 150 S. Huntington Ave (152M), Boston, MA 02130, USA; marlena.shin@va.gov (M.H.S.); omonyele.adjognon@va.gov (O.L.A.); kimberly.harvey@va.gov (K.H.); jennifer.moye@va.gov (J.M.).
  • Yaksic E; Department of Public Health Sciences, University of Rochester, 265 Crittenden Blvd, Rochester, NY 14642, USA; orna.intrator@va.gov.
  • Moye J; VA Geriatrics and Extended Care Data Analysis Center (GEC DAC), Canandaigua VA Medical Center, 400 Fort Hill Ave, Canandaigua, NY 14424, USA.
  • Solimeo S; Massachusetts Veterans Epidemiology Research and Information Center (MAVERIC), VA Boston Healthcare System, 150 S. Huntington Ave (152M), Boston, MA 02130, USA; enzo.yaksic@va.gov.
Geriatrics (Basel) ; 3(3)2018 Sep.
Article en En | MEDLINE | ID: mdl-30364554
Geriatric Patient-Aligned Care Teams (GeriPACT) were implemented in the Department of Veterans Affairs (VA) (i.e., Patient-Centered Medical Homes for older adults) to provide high quality coordinated care to older adults with more risk of negative health and psychosocial outcomes. The objectives of this paper are: (1) to present data on GeriPACT structural characteristics; and (2) to examine a composite measure of GeriPACT model consistency. We utilized a web survey targeting 71 physician leads resulting in a 62% response rate. We found GeriPACTs employed a range of staffing, empanelment, clinic space, and patient assignment practices. The mean value of the GeriPACT consistency measure was 2.03 (range: 1-4) and 6.3% of facilities were considered consistent to the GeriPACT model. We observed large variation in GeriPACT structure and in model consistency. More research is needed to understand how these variations are related to processes and outcomes of care.
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Texto completo: 1 Colección: 01-internacional Base de datos: MEDLINE Tipo de estudio: Prognostic_studies Idioma: En Revista: Geriatrics (Basel) Año: 2018 Tipo del documento: Article Pais de publicación: Suiza
Texto completo
Añadir a Mi BVS
Imprimir
XML
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Buscar en Google

Texto completo: 1 Colección: 01-internacional Base de datos: MEDLINE Tipo de estudio: Prognostic_studies Idioma: En Revista: Geriatrics (Basel) Año: 2018 Tipo del documento: Article Pais de publicación: Suiza