The Cleveland Alzheimer's managed care demonstration: outcomes after 12 months of implementation.
Gerontologist
; 43(1): 73-85, 2003 Feb.
Article
em En
| MEDLINE
| ID: mdl-12604748
ABSTRACT
PURPOSE:
This demonstration evaluates the effects of integrating Alzheimer's Association care consultation service with health care services offered by a large managed care system. The primary hypothesis is that Association care consultation will decrease service utilization, increase satisfaction with managed care, and decrease caregiver depression and care-related strain. Secondary modifying-effects hypotheses posit that the effects of the intervention will be intensified when patients have not received a firm dementia diagnosis, patients have more severe memory problems, caregivers use other Association services in tandem with care consultation, and caregivers are not patients' spouses. DESIGN ANDMETHODS:
The demonstration is a randomized trial that examines outcomes after a 12-month study period. Interview data from 157 primary family caregivers are combined with data abstracted from medical/administrative records.RESULTS:
Support for the primary hypothesis is found for selected, but not all, service utilization outcomes and for caregiver depression. Support for secondary modifying-effects hypotheses is found for satisfaction outcomes and care-related strain outcomes. IMPLICATIONS Care consultation delivered within a partnership between a managed care health system and an Alzheimer's Association is a promising strategy for improving selected outcomes for patients with dementia and their caregivers.
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Base de dados:
MEDLINE
Assunto principal:
Grupos de Autoajuda
/
Programas de Assistência Gerenciada
/
Cuidadores
/
Doença de Alzheimer
Tipo de estudo:
Clinical_trials
/
Prognostic_studies
/
Qualitative_research
/
Risk_factors_studies
Limite:
Aged
/
Female
/
Humans
/
Male
País/Região como assunto:
America do norte
Idioma:
En
Revista:
Gerontologist
Ano de publicação:
2003
Tipo de documento:
Article
País de afiliação:
Estados Unidos