New Ways to Care for Older People: Building Systems Based on Evidence

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This book conveys the good news: there is considerable evidence that practitioners themselves can design more effective systems of care for older people, often at lower costs. The researchers here point the way ahead: "evidence-based" interventions; proactive population-based care programs; patient-centered delivery models—all developed under rigorous research controls and under the mandates of managed care. The results reported here are proof that the convergence of wellness movements, patient participation, and managed care administration can be harnessed for improved and often more cost-effective gerontologic care.

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Product Details

  • ISBN-13: 9780826111555
  • Publisher: Springer Publishing Company, Incorporated
  • Publication date: 1/1/2004
  • Pages: 282
  • Product dimensions: 6.00 (w) x 9.00 (h) x 0.59 (d)

Meet the Author

Dr. Chad Boult is the Eugene and Mildred Lipitz Professor of Health Policy & Management at the Johns Hopkins Bloomberg School of Public Health. He directs the Roger C. Lipitz Center for Integrated Health Care and holds joint appointments on the faculties of the Johns Hopkins University Schools of Medicine and Nursing. A geriatrician for 20 years, he has extensive experience in developing, testing, evaluating, and diffusing new models of health care for older adults.
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Table of Contents





Part I. When the Older Person is Healthy and Independent
• Prevention of Frailty, David M. Buchner
• Prevention of Disease, James T. Pacala

Part II. When the Older Person is Chronically Ill or at Risk
• Care of Older People With Chronic Illness, Edward H. Wagner
• Care of Older People at Risk, Chad Boult and James T. Pacala

Part III. When the Older Person is Acutely Ill
• Care of Acute Illness in the Home, Bruce Leff and John R. Burton
• Older Patients in the Emergency Department, Chris J. Michalakes, Bruce J. Naughton, Evan Calkins, and Chad Boult
• Care of Older People in the Hospital, Evan Calkins and Bruce J. Naughton
• Subacute Care, Thomas vonSternberg, Karen Connors, and Evan Calkins
• Rehabilitation, Andrew M. Kramer
• Care of Older People Who are Dying, Robert M. McCann

Part IV. When the Older Person is Disabled
• Overview of Community-Based Long-Term Care, Amasa B. Ford
• Outcomes and Cost of Home and Community-Based Long-Term Care: Implications for Research-Based Practice, William G. Weissert and Susan C. Hedrick
• Comprehensive Care of Older People with Alzheimer's Disease, Deirdre Johnston and Burton V. Reifler
• Long-Term Care in the Nursing Home, John F. Schnelle and David B. Reuben

Part V. Concluding Observations
• Integrating Quality Assurance Across Sites of Geriatric Care, Eric A. Coleman and Richard W. Besdine
• Integrating Care, Chad Boult and James T. Pacala
• Medicare and Managed Care, Harold S. Luft
• Necessary Changes in the Infrastructure of Health Systems, George Halvorson


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