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Centre for Policy on Ageing | |
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| Outcomes for patients with dementia from the Cleveland Alzheimer's Managed Care Demonstration | | Author(s) | P A Clark, D M Bass, W J Looman |
| Journal title | Aging & Mental Health, vol 8, no 1, January 2004 |
| Pages | pp 40-51 |
| Source | http://www.tandfonline.com |
| Keywords | Dementia ; Health services ; Pilot ; United States of America. |
| Annotation | Care consultation, the subject of this study, is a telephone intervention being used by US Alzheimer's Association staff with patients and caregivers to identify personal strengths and resources within the family, health plan, and community. The primary hypothesis is that care consultation will decrease utilisation of managed care services and improve psychological outcomes. A secondary modifying effects hypothesis posits benefits will be greater for patients with more severe memory impairment. Managed care patients whose medical records indicate a diagnosis of dementia or memory loss were randomly assigned to an intervention group which offered care consultation in addition to usual managed care services; a control group received usual managed care services. Results supporting the primary hypothesis show intervention group patients felt less embarrassed and isolated because of their memory problems and report less difficulty coping. Intervention group patients with more severe impairment have fewer physician visits, are less likely to have emergency department visits or hospital admissions, are more satisfied with managed care services, and have decreased depression or strain. (RH). |
| Accession Number | CPA-040311210 A |
| Classmark | EA: L: 4UC: 7T |
Data © Centre for Policy on Ageing |
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| ...from the Ageinfo database published by Centre for Policy on Ageing. |
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