The University of California at Los Angeles Alzheimer's and Dementia Care program for comprehensive, coordinated, patient-centered care: preliminary data.
The University of California at Los Angeles Alzheimer's and Dementia Care program for comprehensive, coordinated, patient-centered care: preliminary data.
复制标题
DOI：
10.1111/jgs.12562
复制
发表时间：
2013-12
影响因子：
6.3
通讯作者：
Tan ZS
中科院分区：
文献类型：
--
作者：
Reuben DB;Evertson LC;Wenger NS;Serrano K;Chodosh J;Ercoli L;Tan ZS
痴呆症是一种慢性疾病，需要医疗和社会服务来提供高质量的护理和预防并发症。由于实践中的时间限制，缺乏基于系统的方法，以及社区组织(CBO)的整合不力，与影响老年人的其他疾病相比，痴呆症的护理质量较差。加州大学洛杉矶分校阿尔茨海默氏症和痴呆症护理(UCLA ADC)计划与CBO合作，为阿尔茨海默病和其他痴呆症患者提供全面、协调、以患者为中心的护理。该计划的目标是最大限度地发挥患者的功能、独立性和尊严，最大限度地减少照顾者的压力和疲惫，并减少不必要的成本。加州大学洛杉矶分校ADC计划由五个关键部分组成：患者招募和痴呆症登记，登记处患者及其照顾者的结构化需求评估，根据需求评估和初级保健医生的投入创建和实施个性化痴呆症护理计划，根据需要监测和修订护理计划，以及一年365天、每天24小时提供帮助和建议。该方案使用共同管理模式，由一名护士从业者、痴呆症护理经理与初级保健医生和CBO合作。根据最初接受服务的150名患者，最初护理计划中最常见的建议是转诊到支持小组(73%)、阿尔茨海默氏症协会安全回归(73%)、护理员培训(45%)和药物调整(41%)。该计划将根据其实现三重目标的能力进行评估，这三个目标是更好地照顾个人、改善人口健康和降低成本。
Dementia is a chronic disease that requires both medical and social services to provide high quality of care and prevent complications. As a result of time constraints in practice, lack of systems-based approaches, and poor integration of community-based organizations (CBOs), the quality of care for dementia is poor compared to other diseases that affect older persons. The UCLA Alzheimer’s and Dementia Care (UCLA ADC) program partners with CBOs to provide comprehensive, coordinated, patient-centered care for patients with Alzheimer’s disease and other dementias. The goals of the program are to maximize patient function, independence and dignity, minimize caregiver strain and burnout and reduce unnecessary costs. The UCLA ADC program consists of five key components: patient recruitment and a dementia registry, structured needs assessments of patients in the registry and their caregivers, creation and implementation of individualized dementia care plans based on needs assessments and input from the primary care physicians, monitoring and revising care plans, as needed, and access 24/7, 365 days a year for assistance and advice. The program uses a co-management model with a nurse practitioner Dementia Care Manager working with primary care physicians and CBOs. Based on the first 150 patients served, the most common recommendations in the initial care plans were referrals to support groups (73%), Alzheimer’s Association Safe Return (73%), caregiver training (45%), and medication adjustment (41%). The program will be evaluated on its ability to achieve the triple aim of better care for individuals, better health for populations, and lower costs.
登录
查看更多内容
影响因子：
3.4
作者：
Boustani, Malaz A.;Sachs, Greg A.;Callahan, Christopher M.
通讯作者：
Callahan, Christopher M.
影响因子：
39.2
作者：
Wenger, NS;Solomon, DH;Shekelle, PG
通讯作者：
Shekelle, PG
影响因子：
10.6
作者：
ALEXOPOULOS, GS;ABRAMS, RC;SHAMOIAN, CA
通讯作者：
SHAMOIAN, CA
影响因子：
120.7
作者：
Phelan, Elizabeth A.;Borson, Soo;Grothaus, Louis;Balch, Steven;Larson, Eric B.
通讯作者：
Larson, Eric B.
DOI：
10.1093/geronb/58.2.s127
发表时间：
2003-03-01
影响因子：
6.2
作者：
Thornton, M;Travis, SS
通讯作者：
Travis, SS