PMID: 9988283Feb 13, 1999Paper

Use of primary care teams by HMOS for care of long-stay nursing home residents

Journal of the American Geriatrics Society
D O FarleyD B Reuben

Abstract

To characterize the use of formal primary care programs by health maintenance organizations (HMOs) for their members who are long-stay residents of nursing homes. Using mail survey techniques, 34 Medicare risk-contracting HMOs with the largest Medicare beneficiary enrollments were asked to complete a written questionnaire. HMOs were asked how they evaluate care in nursing home settings and whether they operate a formal primary care program for members who are long-stay nursing home residents. Those reporting they had programs were asked about the program features, participation in the program, roles performed by clinical practitioners, and clinical caseloads. Surveys were completed by 21 (61.8%) of the HMOs. HMO management personnel who know the primary care programs the HMOs operate in affiliated nursing homes. Descriptive summaries of the HMOs' responses to the survey questions were generated. For HMOs with primary care programs, caseloads of physicians and nurse practitioners were estimated using survey data reported by the HMOs. Eight (38.1%) of the responding HMOs operate formal primary care programs in affiliated nursing homes. HMOs with programs consider more factors than non-program HMOs in evaluating care for nursing h...Continue Reading

References

Apr 29, 1998·Journal of the American Geriatrics Society·J B BurlA M Khan
May 20, 1998·Journal of the American Geriatrics Society·R J Ackermann, K A Kemle
Feb 13, 1999·Journal of the American Geriatrics Society·D B ReubenJ G Ouslander

Citations

Jul 1, 2008·Research in Gerontological Nursing·Debra Bakerjian
Nov 14, 2007·Journal of the American Medical Directors Association·Cari LevyA M Kramer
Feb 13, 1999·Journal of the American Geriatrics Society·C Boult
Nov 14, 2003·Journal of the American Medical Directors Association·Mary Pat Rapp
Sep 18, 2001·Journal of the American Geriatrics Society·W C McCormickE B Larson
Oct 21, 1999·Image--the Journal of Nursing Scholarship·R J ElsnerL W Poon
Nov 29, 2002·The Journals of Gerontology. Series A, Biological Sciences and Medical Sciences·R L Kane
Jul 30, 2005·The Gerontologist·Orna IntratorJacqueline Zinn
Feb 28, 2015·Qualitative Health Research·Theresa J GarciaJames S Goodwin
Sep 27, 2003·Journal of the American Geriatrics Society·R L KaneMir Said Siadaty
May 2, 2002·Journal of the American Geriatrics Society·R L KaneYat-Sang Lum

Related Concepts

Health Maintenance Organizations
Health Services for the Aged
Homes for the Aged
Long-term Care
Nursing Homes
Patient Care Team
Primary Health Care
Utilization Review
Family Planning Program Evaluation
Geriatric Assessment

Trending Feeds

COVID-19

Coronaviruses encompass a large family of viruses that cause the common cold as well as more serious diseases, such as the ongoing outbreak of coronavirus disease 2019 (COVID-19; formally known as 2019-nCoV). Coronaviruses can spread from animals to humans; symptoms include fever, cough, shortness of breath, and breathing difficulties; in more severe cases, infection can lead to death. This feed covers recent research on COVID-19.

Evolution of Pluripotency

Pluripotency refers to the ability of a cell to develop into three primary germ cell layers of the embryo. This feed focuses on the mechanisms that underlie the evolution of pluripotency. Here is the latest research.

Lipidomics & Rhinovirus Infection

Lipidomics can be used to examine the lipid species involved with pathogenic conditions, such as viral associated inflammation. Discovered the latest research on Lipidomics & Rhinovirus Infection.

Spatio-Temporal Regulation of DNA Repair

DNA repair is a complex process regulated by several different classes of enzymes, including ligases, endonucleases, and polymerases. This feed focuses on the spatial and temporal regulation that accompanies DNA damage signaling and repair enzymes and processes.

Chronic Fatigue Syndrome

Chronic fatigue syndrome is a disease characterized by unexplained disabling fatigue; the pathology of which is incompletely understood. Discover the latest research on chronic fatigue syndrome here.

Torsion Dystonia

Torsion dystonia is a movement disorder characterized by loss of control of voluntary movements appearing as sustained muscle contractions and/or abnormal postures. Here is the latest research.

Archaeal RNA Polymerase

Archaeal RNA polymerases are most similar to eukaryotic RNA polymerase II but require the support of only two archaeal general transcription factors, TBP (TATA-box binding protein) and TFB (archaeal homologue of the eukaryotic general transcription factor TFIIB) to initiate basal transcription. Here is the latest research on archaeal RNA polymerases.

Alzheimer's Disease: MS4A

Variants within the membrane-spanning 4-domains subfamily A (MS4A) gene cluster have recently been implicated in Alzheimer's disease in genome-wide association studies. Here is the latest research on Alzheimer's disease and MS4A.

Central Pontine Myelinolysis

Central Pontine Myelinolysis is a neurologic disorder caused most frequently by rapid correction of hyponatremia and is characterized by demyelination that affects the central portion of the base of the pons. Here is the latest research on this disease.

Related Papers

Journal of the American Geriatrics Society
T Fama, P D Fox
Arthritis Care and Research : the Official Journal of the Arthritis Health Professions Association
T A CronanM Weisman
Health Services Research
Dennis P ScanlonMichael Chernew
© 2021 Meta ULC. All rights reserved