PMID: 9434663Jan 22, 1998Paper

Decreasing hospitalization rates for older home care patients with symptoms of depression

Journal of the American Geriatrics Society
J H FlahertyJ E Morley

Abstract

To target medically ill older home care patients with symptoms of depression in order to reduce their rate of hospitalization. A case-control study. A private, nonprofit home care organization, the Visiting Nurse Association of St. Louis. Home care patients 65 years of age and older with symptoms of depression who were participants of a Total Quality Management (TQM) intervention (n = 81) were compared with an historical control of home care patients 65 years of age and older with symptoms of depression (n = 69). Utilization of TQM principles to develop a plan including: (a) an educational seminar on depression for home care staff involved in the project; (b) letters to physicians introducing the TQM project; (c) use of the Geriatric Depression Scale (GDS) for screening; (d) recommendation to the primary physician of a home social service (SS) consultation for patients with a GDS of 10 to 14; (e) recommendation to the primary physician of three interventions for patients with a GDS > or = 15: home SS consultation + mental health (MH), or gerontological nurse (GN) consultation + antidepressant medication (a pharmacotherapeutic algorithm sent by facsimile to the primary physician upon request). Hospitalization rates of the contro...Continue Reading

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Citations

Jun 1, 2010·Journal of the American Medical Directors Association·John E Morley
Sep 6, 2002·The American Journal of Geriatric Psychiatry : Official Journal of the American Association for Geriatric Psychiatry·Jeanne A TeresiJoseph P Eimicke
Sep 11, 2007·American Journal of Preventive Medicine·John T FrederickUNKNOWN Late Life Depression Special Interest Project Panelists
Sep 12, 2006·The Medical Clinics of North America·John E MorleyMoon Jong Kim
May 28, 2004·Journal for Healthcare Quality : Official Publication of the National Association for Healthcare Quality·Laura E Peterson
May 31, 2002·Scandinavian Journal of Caring Sciences·S ArveA Lehtonen
Dec 11, 1999·Journal of the American Geriatrics Society·F LandiR Bernabei
Jun 29, 2006·Home Health Care Services Quarterly·Kathleen Ell
Sep 7, 2007·Home Health Care Services Quarterly·Kathleen EllBin Xie
Oct 7, 2003·The Journals of Gerontology. Series A, Biological Sciences and Medical Sciences·Joseph H FlahertyLaurence Rubenstein
Jul 11, 2001·The Journals of Gerontology. Series A, Biological Sciences and Medical Sciences·J H Flaherty
Oct 18, 2000·The Journals of Gerontology. Series A, Biological Sciences and Medical Sciences·J H FlahertyJ E Morley
Jul 30, 2002·The Journals of Gerontology. Series A, Biological Sciences and Medical Sciences·John E Morley
May 23, 2002·The Journals of Gerontology. Series A, Biological Sciences and Medical Sciences·John E Morley, Joseph H Flaherty
Mar 14, 2002·Journal of the American Geriatrics Society·F LandiUNKNOWN Silvernet-HC Study Group of Bergamo
Mar 13, 2019·British Journal of Hospital Medicine·Lloyd D HughesDavid J Findlay
Apr 12, 2003·Journal of Nursing Care Quality·Jane E BostickMarilyn J Rantz
May 13, 2010·Journal of Gerontological Social Work·Zvi D Gellis

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