A STRATEGIC SUPPORTIVE MODEL FOR HEALTH PROMOTION MAINTENANCE IN THE ELDERLY

促进老年人健康的战略支持模式

• 批准号: 6206476
• 负责人: ROBERT HUNTER-MELLADO
• 金额: $ 16.35万
• 依托单位: UNIVERSIDAD CENTRAL DEL CARIBE
• 依托单位国家: 美国
• 财政年份: 1999
• 资助国家: 美国
• 起止时间: 1999-09-01 至 2001-08-31
• 项目状态: 已结题
• 来源: https://reporter.nih.gov/project-details/6206476
• 关键词: behavior test; behavioral /social science research tag; disease /disorder prevention /control; disease /disorder proneness /risk; geriatric nursing; health care model; health education; human subject; interview; medical rehabilitation related tag; model design /development; nutrition of aging; nutrition related tag; patient care management; physical therapy; prognosis; psychological tests; self care

The hypothesis which drives this study can be stated as follows: Interventions designed to enhance understanding of disease processes in the elderly population will allow the patient to become an active participant in preventive strategies in a primary, secondary and tertiary level would improve health related outcomes in the population served In our University Hospital. In a cost conscious environment, models which are geared to recenter the responsibility of health promotion and disease prevention to the patient are more likely to succeed.The elderly population in the United States represents 13% of the population and in the year 2030 will account for 23%. This geriatric population will require a progressive larger amount of health care dollars in order to maintain current levels of care. Current models for Comprehensive Geriatric care have not been successfully implemented in the majority of community and University Hospitals due to the cost and fiscal responsibilities the institutions would need to assume in a scenario of inadequate reimbursement and decreased fiscal resources. These issues are particularly relevant in institutions that predominantly serve minority populations. The nature of health care encounters of the geriatric population in our institution has been analyzed. Geriatric patients represent 44-48% of the admissions to the department of medicine. They frequently express some degree of significant physical disability. Their perception of disease process is not appropriate in many instances and cost-effective preventive strategies are not followed. The special social vulnerability of this population is well documented. In spite of multiple areas amenable to preventive geriatrics a number of barriers exist which do not allow optimal implementation. The ASSUME project aims to develop a model of direct intervention with geriatric patients via a Case Care Manager designed to increase self-care activities by developing a wider and more focused patient involvement in his/her health care decisions. This pilot study will be done in a randomized fashion and will be tied to the evaluation of multiple outcome assessments in a 4 year period. This study could lead to the development of cost effective models of care which could increase the span-of healthy life without increasing health care costs.

推动这项研究的假设可以陈述如下： 旨在加强对疾病过程了解的干预措施， 老年人群将使患者成为一个积极的 参与小学、中学和大学预防战略的人 水平将改善服务人口的健康相关结果， 我们的大学医院在注重成本的环境中， 旨在重新关注健康促进和疾病 预防对病人更有可能成功。老年人 美国人口占总人口的13%， 2030年将占23%。这些老年人将 需要逐步增加医疗保健资金， 保持目前的护理水平。目前的综合模型 在大多数国家，老年护理没有得到成功实施， 社区和大学医院由于成本和财政 机构在以下情况下需要承担的责任： 偿还不足和财政资源减少。这些问题 在主要为少数群体服务的机构中尤其重要 人口。老年人保健接触的性质 我们的研究机构进行了分析。老年患者 占内科录取人数的44-48%。他们 经常表现出一定程度的身体残疾。他们的 在许多情况下，对疾病过程的感知是不适当的， 没有采取成本效益高的预防战略。特殊的社会 这一群体的脆弱性是有据可查的。尽管多个 适合预防性老年医学的地区存在一些障碍， 不允许最佳实施。ASSUME项目旨在开发 通过个案护理直接干预老年患者的模式 管理者旨在通过开发更广泛的 以及更集中的患者参与他/她的健康护理决策。 本初步研究将以随机方式进行，并将与 在4年内对多个结果进行评估。 这项研究可能会导致成本效益的护理模式的发展 这可以在不增加健康的情况下延长健康寿命 护理费用。