Care management journals : Journal of case management ; The journal of long term home health care最新文献

{"title":"An examination of assessment arrangements and service use for older people in receipt of care management.","authors":"Caroline Sutcliffe,&nbsp;Jane Hughes,&nbsp;Michele Abendstern,&nbsp;Paul Clarkson,&nbsp;Helen Chester,&nbsp;David Challis","doi":"10.1891/1521-0987.15.2.66","DOIUrl":"https://doi.org/10.1891/1521-0987.15.2.66","url":null,"abstract":"<p><p>With anticipated greater demand for formal care services globally, this article examines the sociodemographic and health characteristics of frail older people in receipt of community support. Data were collected from audits of case files of older people receiving care management at two time points during which two government policy initiatives were implemented to promote greater standardization in health and social care provision for older people in England. Findings at Time 2 revealed that there were higher levels of physical and mental impairment and more health care assessments undertaken. There was a slight decrease in home care receipt but a marginal increase of more intensive home care provision. Service users living with a carer were less likely to receive home care but more likely to receive respite care or day care than those living alone. The policy goal of widening access to specialist health and social care services for older people with mental health problems was achieved. Guidance that focused eligibility criteria on the identification of older people with complex needs required the availability of appropriate support and services. Irrespective of policy initiatives, the sociodemographic characteristics of older people and the availability of informal support are principal determinants of service provision.</p>","PeriodicalId":80262,"journal":{"name":"Care management journals : Journal of case management ; The journal of long term home health care","volume":"15 2","pages":"66-75"},"PeriodicalIF":0.0,"publicationDate":"2014-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://sci-hub-pdf.com/10.1891/1521-0987.15.2.66","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"32581371","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Physical and mental health: from youth to age in Ohio prisons.","authors":"Alice Lynd","doi":"10.1891/1521-0987.15.1.34","DOIUrl":"https://doi.org/10.1891/1521-0987.15.1.34","url":null,"abstract":"<p><p>Who cares about health care in prisons? You do if you have a son or a granddaughter in prison. Maybe you care anyway if you have had to wait a long time to see a doctor or if you could not have the treatment you needed because it cost too much. Maybe you have run into the attitude, \"You ain't bleedin', you ain't needin'.\" Maybe you have found it hard to face the future with little or no hope that you could ever be in a better place. Or maybe you, like some older prisoners, have been able to develop new interests, new skills, to review your life and review it, and to redefine what matters.</p>","PeriodicalId":80262,"journal":{"name":"Care management journals : Journal of case management ; The journal of long term home health care","volume":"15 1","pages":"34-45"},"PeriodicalIF":0.0,"publicationDate":"2014-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://sci-hub-pdf.com/10.1891/1521-0987.15.1.34","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"32288394","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Closely approaching advanced age in a supermax prison.","authors":"Staughton Lynd","doi":"10.1891/1521-0987.15.1.46","DOIUrl":"https://doi.org/10.1891/1521-0987.15.1.46","url":null,"abstract":"<p><p>When a Social Security recipient reaches the age of 50 years, he or she is classified as \"closely approaching advanced age.\" Todd Ashker is passing this tipping point at Pelican Bay State Prison in California, a supermaximum security facility. My wife and I have corresponded with Mr. Ashker for more than half a dozen years. Although I cannot verify the details of his account, we believe that his representation of facts is generally reliable. He is one of the spokespersons for prisoners who conducted two hunger strikes in 2011 protesting conditions of their confinement. Another, sixty-day hunger strike took place in 2013. Thus, what follows is a story of resilience as well as victimization.</p>","PeriodicalId":80262,"journal":{"name":"Care management journals : Journal of case management ; The journal of long term home health care","volume":"15 1","pages":"46-8"},"PeriodicalIF":0.0,"publicationDate":"2014-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://sci-hub-pdf.com/10.1891/1521-0987.15.1.46","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"32288395","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Seasonal variation and homes: understanding the social experiences of older adults.","authors":"Tam E Perry","doi":"10.1891/1521-0987.15.1.3","DOIUrl":"https://doi.org/10.1891/1521-0987.15.1.3","url":null,"abstract":"<p><p>There has been limited research on the importance of seasons in the lives of older adults. Previous research has highlighted seasonal fluctuations in physical functioning--including limb strength, range of motion, and cardiac death--the spread of influenza in seasonal migration patterns. In addition, older adults experience isolation for various reasons, such as decline of physical and cognitive ability, lack of transportation, and lack of opportunities for social interaction. There has been much attention paid to the social isolation of older adults, yet little analysis about how the isolation changes throughout the year. Based on findings from an ethnographic study of older adults (n = 81), their family members (n = 49), and supportive professionals (n = 46) as they embark on relocation from their homes, this study analyzes the processes of moving for older adults. It examines the seasonal fluctuations of social isolation because of the effect of the environment on the social experiences of older adults. Isolation occurs because of the difficulty inclement weather causes on social interactions and mobility. The article concludes with discussion of the ways that research and practice can be designed and implemented to account for seasonal variation.</p>","PeriodicalId":80262,"journal":{"name":"Care management journals : Journal of case management ; The journal of long term home health care","volume":"15 1","pages":"3-10"},"PeriodicalIF":0.0,"publicationDate":"2014-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://sci-hub-pdf.com/10.1891/1521-0987.15.1.3","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"32288479","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Increased longevity in HIV: caring for older HIV-infected adults.","authors":"Susan C Ball","doi":"10.1891/1521-0987.15.2.76","DOIUrl":"https://doi.org/10.1891/1521-0987.15.2.76","url":null,"abstract":"<p><p>The demographics of the HIV-infected population in the United States have shifted in a way that few would have predicted 30 years ago when the tide of sick and dying patients largely consisted of young men. Effective ART has allowed those infected to live long, productive lives and to grow old with their disease. With the increase in life expectancy afforded by HIV treatment, the cause of death among HIV-infected individuals is far more likely to be from an HIV-associated non-AIDS condition. Nonetheless, HIV seems to accelerate the aging process, and care providers involved in the treatment of older patients with HIV need to be aware that their patients are at increased risk of developing various common disorders, compared to uninfected same-age patients. Clinicians need to remain vigilant to the possibility of a new diagnosis of HIV among their older patients. Awareness of current or distant risk, frank discussions of sexual practices, and willingness to offer routine testing are crucial to making this diagnosis, with the recognition that longevity for patients with HIV is directly linked to how soon they enter care. HIV infection adds another challenge to the management of older patients; geriatricians and HIV specialists need to coordinate their efforts to provide patients with comprehensive multidisciplinary care. Older patients with HIV also have social and psychological needs that extend beyond the medical office. Maintaining independence, acknowledging limitations, reducing risk of adverse events such as falls or medication errors, and supporting self-acceptance and awareness are only a few of the many areas where care providers outside the medical office can be important for patients' ongoing well-being. Accessing family support, community outreach, church affiliation, or other outpatient support networks can be useful for patients. The remarkable change in prognosis brought about by effective ART in the mid-1990s has meant that HIV is now, for many, a manageable chronic illness. Clinicians and other care providers are changing their approach and goals of care as patients with HIV grow old.</p>","PeriodicalId":80262,"journal":{"name":"Care management journals : Journal of case management ; The journal of long term home health care","volume":"15 2","pages":"76-82"},"PeriodicalIF":0.0,"publicationDate":"2014-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://sci-hub-pdf.com/10.1891/1521-0987.15.2.76","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"32581372","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Centralized care management support for \"high utilizers\" in primary care practices at an academic medical center.","authors":"Brent C Williams,&nbsp;Jamie L Paik,&nbsp;Laura L Haley,&nbsp;Gina M Grammatico","doi":"10.1891/1521-0987.15.1.26","DOIUrl":"https://doi.org/10.1891/1521-0987.15.1.26","url":null,"abstract":"<p><p>Although evidence of effectiveness is limited, care management based outside primary care practices or hospitals is receiving increased attention. The University of Michigan (UM) Complex Care Management Program (CCMP) provides care management for uninsured and underinsured, high-utilizing patients in multiple primary care practices. To inform development of optimal care management models, we describe the CCMP model and characteristics and health care utilization patterns of its patients. Of a consecutive series of 49 patients enrolled at CCMP in 2011, the mean (SD) age was 48 (+/- 14); 23 (47%) were women; and 29 (59%) were White. Twenty-eight (57%) had two or more chronic medical conditions, 39 (80%) had one or more psychiatric condition, 28 (57%) had a substance abuse disorder, and 11 (22%) were homeless. Through phone, e-mail, and face-to-face contact with patients and primary care providers (PCPs), care managers coordinated health and social services and facilitated access to medical and mental health care. Patients had a mean (SD) number of hospitalizations and emergency room (ER) visits in 6 months prior to enrollment of2.2 (2.5) and 4.2 (4.3), respectively, with a nonstatistically significant decrease in hospitalizations, hospital days, and emergency room visits in 6 months following enrollment in CCMP. Centralized care management support for primary care practices engages high-utilizing patients with complex medical and behavioral conditions in care management that would be difficult to provide through individual practices and may decrease health care utilization by these patients.</p>","PeriodicalId":80262,"journal":{"name":"Care management journals : Journal of case management ; The journal of long term home health care","volume":"15 1","pages":"26-33"},"PeriodicalIF":0.0,"publicationDate":"2014-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://sci-hub-pdf.com/10.1891/1521-0987.15.1.26","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"32288392","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Marilyn Mesi Pona.","authors":"Marilyn Mesi Pona,&nbsp;Marian Brickner","doi":"10.1891/1521-0987.15.1.57","DOIUrl":"https://doi.org/10.1891/1521-0987.15.1.57","url":null,"abstract":"","PeriodicalId":80262,"journal":{"name":"Care management journals : Journal of case management ; The journal of long term home health care","volume":"15 1","pages":"57-60"},"PeriodicalIF":0.0,"publicationDate":"2014-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://sci-hub-pdf.com/10.1891/1521-0987.15.1.57","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"32288400","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Individualized plans of care to improve outcomes among children and adults with chronic illness: a systematic review.","authors":"K Casey Lion,&nbsp;Rita Mangione-Smith,&nbsp;Maria T Britto","doi":"10.1891/1521-0987.15.1.11","DOIUrl":"https://doi.org/10.1891/1521-0987.15.1.11","url":null,"abstract":"<p><strong>Background: </strong>Adults and children with chronic illness often require services from multiple providers. Individualized plans of care (IPCs) are sometimes developed to improve care coordination. However, their association with improved outcomes is unknown.</p><p><strong>Methods: </strong>We searched literature published between January 2001 and October 2011, using Medline, CINAHL, EMBASE, PsychINFO, and bibliographic review. Eligible studies involved an IPC with input from the patient and/or family of individuals with chronic illness, evaluated outcomes, and were conducted in the United States. We assessed evidence quality using Oxford Centre for Evidence-Based Medicine criteria.</p><p><strong>Results: </strong>15 studies met inclusion criteria. Studies were heterogeneous regarding populations and outcomes examined and were generally low quality. Most described IPC use within a multifaceted care coordination intervention. The strongest evidence links IPC use and symptom improvement in depressed adults; the weakest evidence exists for outcomes in children. Vague descriptions of the IPCs' limited analysis.</p><p><strong>Conclusions: </strong>Current evidence supporting an association between IPC use and improved outcomes, particularly among children, is sparse. Well-designed evaluations of clearly described IPCs are needed to examine who should be involved in their development, what they should include, and how often they should be updated to improve outcomes of care for this vulnerable population.</p>","PeriodicalId":80262,"journal":{"name":"Care management journals : Journal of case management ; The journal of long term home health care","volume":"15 1","pages":"11-25"},"PeriodicalIF":0.0,"publicationDate":"2014-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://sci-hub-pdf.com/10.1891/1521-0987.15.1.11","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"32288391","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Eleven blogs on aging.","authors":"Bea V Larsen","doi":"10.1891/1521-0987.15.1.49","DOIUrl":"https://doi.org/10.1891/1521-0987.15.1.49","url":null,"abstract":"","PeriodicalId":80262,"journal":{"name":"Care management journals : Journal of case management ; The journal of long term home health care","volume":"15 1","pages":"49-56"},"PeriodicalIF":0.0,"publicationDate":"2014-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://sci-hub-pdf.com/10.1891/1521-0987.15.1.49","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"32288397","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Constipation in the long-term care setting.","authors":"Nisha Rughwani,&nbsp;Shunichi Nakagawa,&nbsp;Brijen Shah","doi":"10.1891/1521-0987.15.2.83","DOIUrl":"https://doi.org/10.1891/1521-0987.15.2.83","url":null,"abstract":"","PeriodicalId":80262,"journal":{"name":"Care management journals : Journal of case management ; The journal of long term home health care","volume":"15 2","pages":"83-90"},"PeriodicalIF":0.0,"publicationDate":"2014-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://sci-hub-pdf.com/10.1891/1521-0987.15.2.83","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"32581373","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}