Multidimensional Geriatric Assessment : Back to the Future Early Effects of ‘ ‘ Guided Care ’ ’ on the Quality of Health Care for Multimorbid Older Persons : A Cluster-Randomized Controlled Trial
Multidimensional Geriatric Assessment : Back to the Future Early Effects of ‘ ‘ Guided Care ’ ’ on the Quality of Health Care for Multimorbid Older Persons : A Cluster-Randomized Controlled Trial
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多维老年评估：回到未来“指导护理”对多病老年人医疗保健质量的早期影响：整群随机对照试验
DOI：
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发表时间：
2008
期刊：
影响因子：
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通讯作者：
D. Scharfstein
中科院分区：
文献类型：
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作者：
C. Boult;L. Reider;K. Frey;Bruce Leff;Cynthia M. Boyd;Jennifer L. Wolff;Stephen Wegener;Jill Marsteller;Lya Karm;D. Scharfstein
方法：研究方法。我们假设GC将改善这一人群的医疗保健质量。2006年，我们在8个诊所(N1⁄449名医生)开始了一项GC的整群随机对照试验。这些做法的老年患者如果在来年有大量使用卫生服务的风险，就有资格参加。由两到五名医生和他们的高危老年患者组成的团队被随机分为GC组或常规护理组(UC)。基线六个月后，参与者通过回答电话面试者提出的有效封闭式问题来对他们的医疗保健质量进行评级，这些问题是戴着面具进行小组分配的。
Methods. We hypothesized that GC would improve the quality of health care for this population. In 2006, we began a cluster-randomized controlled trial of GC at eight practices (n1⁄4 49 physicians). Older patients of these practices were eligible to participate if they were at risk for using health services heavily during the coming year. Teams of two to five physicians and their at-risk older patients were randomized to either GC or usual care (UC). Six months after baseline, participants rated the quality of their health care by answering validated closed-ended questions from telephone interviewers who were masked to group assignment.