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The effects of a collaborative model of primary care on the mortality and hospital use of community-dwelling older adults
Author(s)Cheryl Schraeder, Paul Shelton, Mark Sager
Journal titleJournals of Gerontology: Series A, Biological Sciences and Medical Sciences, vol 56A, no 2, February 2000
Pagespp M106-M112
KeywordsGeneral practice ; Services ; Coordination ; Interaction [welfare services] ; Living in the community ; Death ; Hospital services ; United States of America.
AnnotationThe study evaluated a primary care practice model in which doctors, nurses and patients worked in collaboration to expand the scope of primary care practice. Four rural and four urban clinic sites in Illinois and their community-dwelling over-65 patients having at least one risk factor were followed over 2 years. The treatment group experienced a 49% reduction in all-cause mortality during the second year of the study, and no particular differences with a control group for hospitalisation and length of hospital stay. Although the treatment group was significantly sicker at the start, these differences had disappeared by the end of 2 years. The collaborative primary care model significantly reduced mortality in the second year, without increasing hospital use, and can result in better patient outcomes. (RH).
Accession NumberCPA-010307204 A
ClassmarkL5: I: QAJ: QK6: K4: CW: LD: 7T

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