Geriatric Patient-Aligned Care Teams in Department of Veterans Affairs: How Are They Structured?
Geriatric Patient-Aligned Care Teams in Department of Veterans Affairs: How Are They Structured?
复制标题
DOI：
10.3390/geriatrics3030046
复制
发表时间：
2018-09-01
期刊：
影响因子：
2.3
通讯作者：
Solimeo, Samantha
中科院分区：
文献类型：
--
作者：
Sullivan, Jennifer L.;Shin, Marlena H.;Solimeo, Samantha
在退伍军人事务部（VA）（即老年人以患者为中心的医疗之家）实施了老年患者协调护理小组（GeriPACT），为健康和社会心理不良后果风险更高的老年人提供高质量的协调护理。本文的目的是：(1)提供关于GeriPACT结构特征的数据；(2)检验GeriPACT模型一致性的复合测度。我们对71位医生进行了网络调查，回复率为62%。我们发现，GeriPACTs采用了一系列的人员配置、从业人员、诊所空间和患者分配实践。GeriPACT一致性测量的平均值为2.03（范围：1-4），6.3%的设施被认为与GeriPACT模型一致。我们观察到GeriPACT结构和模型一致性有很大的变化。需要更多的研究来了解这些变化如何与护理过程和结果相关。
Geriatric Patient-Aligned Care Teams (GeriPACT) were implemented in the Department of Veterans Affairs (VA) (i.e., Patient-Centered Medical Homes for older adults) to provide high quality coordinated care to older adults with more risk of negative health and psychosocial outcomes. The objectives of this paper are: (1) to present data on GeriPACT structural characteristics; and (2) to examine a composite measure of GeriPACT model consistency. We utilized a web survey targeting 71 physician leads resulting in a 62% response rate. We found GeriPACTs employed a range of staffing, empanelment, clinic space, and patient assignment practices. The mean value of the GeriPACT consistency measure was 2.03 (range: 1-4) and 6.3% of facilities were considered consistent to the GeriPACT model. We observed large variation in GeriPACT structure and in model consistency. More research is needed to understand how these variations are related to processes and outcomes of care.