Efforts to Improve Primary Care Delivery to Nursing Home Residents
OBJECTIVE: To describe a primary care practice model used by health maintenance organizations (HMOs) that serve Medicare beneficiaries to improve the provision of primary care to nursing home residents. PARTICIPANTS: Medicare beneficiaries who reside in nursing homes and who are enrolled in HMOs. CO...
Gespeichert in:
| Veröffentlicht in: | Journal of the American Geriatrics Society (JAGS) 1997-05, Vol.45 (5), p.627-632 |
|---|---|
| Hauptverfasser: | , |
| Format: | Artikel |
| Sprache: | eng |
| Schlagworte: | |
| Online-Zugang: | Volltext |
| Tags: |
Tag hinzufügen
Keine Tags, Fügen Sie den ersten Tag hinzu!
|
| container_end_page | 632 |
|---|---|
| container_issue | 5 |
| container_start_page | 627 |
| container_title | Journal of the American Geriatrics Society (JAGS) |
| container_volume | 45 |
| creator | Fama, Teresa Fox, Peter D. |
| description | OBJECTIVE: To describe a primary care practice model used by health maintenance organizations (HMOs) that serve Medicare beneficiaries to improve the provision of primary care to nursing home residents.
PARTICIPANTS: Medicare beneficiaries who reside in nursing homes and who are enrolled in HMOs.
CONCLUSION: Several HMOs are using physician‐nurse practitioner teams to provide primary care to nursing home residents. The potential to improve the delivery of these services in nursing homes, particularly to long‐stay residents, is apparent. However, obstacles arise in developing this practice model in HMOs, including difficulty recruiting both nurse practitioners and physicians and the lack of HMO‐based research on the effects of such a model. |
| doi_str_mv | 10.1111/j.1532-5415.1997.tb03100.x |
| format | Article |
| fullrecord | <record><control><sourceid>proquest_cross</sourceid><recordid>TN_cdi_proquest_miscellaneous_79005202</recordid><sourceformat>XML</sourceformat><sourcesystem>PC</sourcesystem><sourcerecordid>13237155</sourcerecordid><originalsourceid>FETCH-LOGICAL-c4950-b4ce529c546891145ac44d6bf69462812701ed8fa6e614053dd9dbeef379837f3</originalsourceid><addsrcrecordid>eNqVkUtv1TAQhS0EKreFn4AUVYhdwviV2GwQ3Ja0VVUqKGJpOckE5ZJHsZNy--9xlOgu2CC8sa3zzfH4DCGnFBIa1ttdQiVnsRRUJlTrLBkL4BQg2T8hm4P0lGwAgMUqpeI5OfZ-B0AZKHVEjjSVSiq9IR_P63pwo4_GIbrs7t3wgNGtazrrHqOtdRidYds8YLgF4GZyvul_RBdDh9EX9E2F_ehfkGe1bT2-XPcT8u3T-d32Ir7-nF9uP1zHpdAS4kKUKJkupUiVplRIWwpRpUWdapEyRVkGFCtV2xRDwyB5VemqQKx5phXPan5C3iy-octfE_rRdI0vsW1tj8PkTaYBJAP2T1BmQgMHHcDTv8DdMLk-fMIwClxBxiBA7xaodIP3Dmtzv-RjKJh5HGZn5szNnLmZx2HWcZh9KH61vjAVHVaH0jX_oL9edetL29bO9mXjDxhLVTBNA_Z-wX43LT7-RwPmKv86n4JDvDg0fsT9wcG6nybNeCbN95vcqJzecbi6NTn_A3SOs5s</addsrcrecordid><sourcetype>Aggregation Database</sourcetype><iscdi>true</iscdi><recordtype>article</recordtype><pqid>210380720</pqid></control><display><type>article</type><title>Efforts to Improve Primary Care Delivery to Nursing Home Residents</title><source>MEDLINE</source><source>Applied Social Sciences Index & Abstracts (ASSIA)</source><source>Wiley Online Library All Journals</source><creator>Fama, Teresa ; Fox, Peter D.</creator><creatorcontrib>Fama, Teresa ; Fox, Peter D.</creatorcontrib><description>OBJECTIVE: To describe a primary care practice model used by health maintenance organizations (HMOs) that serve Medicare beneficiaries to improve the provision of primary care to nursing home residents.
PARTICIPANTS: Medicare beneficiaries who reside in nursing homes and who are enrolled in HMOs.
CONCLUSION: Several HMOs are using physician‐nurse practitioner teams to provide primary care to nursing home residents. The potential to improve the delivery of these services in nursing homes, particularly to long‐stay residents, is apparent. However, obstacles arise in developing this practice model in HMOs, including difficulty recruiting both nurse practitioners and physicians and the lack of HMO‐based research on the effects of such a model.</description><identifier>ISSN: 0002-8614</identifier><identifier>EISSN: 1532-5415</identifier><identifier>DOI: 10.1111/j.1532-5415.1997.tb03100.x</identifier><identifier>PMID: 9158589</identifier><identifier>CODEN: JAGSAF</identifier><language>eng</language><publisher>Oxford, UK: Blackwell Publishing Ltd</publisher><subject>Aged ; Aged, 80 and over ; Biological and medical sciences ; Elderly people ; Fee-for-Service Plans ; Female ; Health care networks ; Health Maintenance Organizations - standards ; Health services utilization ; Humans ; Improvements ; Long-Term Care - standards ; Male ; Medical sciences ; Medicare ; Models, Organizational ; Nursing homes ; Nursing Homes - economics ; Nursing Homes - standards ; Patient Care Team ; Prevention and actions ; Primary health care ; Primary Health Care - standards ; Public health. Hygiene ; Public health. Hygiene-occupational medicine ; Quality Assurance, Health Care - organization & administration ; Service delivery ; Specific populations (family, woman, child, elderly...) ; United States ; USA</subject><ispartof>Journal of the American Geriatrics Society (JAGS), 1997-05, Vol.45 (5), p.627-632</ispartof><rights>1997 The American Geriatrics Society</rights><rights>1997 INIST-CNRS</rights><rights>Copyright Lippincott Williams & Wilkins May 1997</rights><lds50>peer_reviewed</lds50><woscitedreferencessubscribed>false</woscitedreferencessubscribed><citedby>FETCH-LOGICAL-c4950-b4ce529c546891145ac44d6bf69462812701ed8fa6e614053dd9dbeef379837f3</citedby><cites>FETCH-LOGICAL-c4950-b4ce529c546891145ac44d6bf69462812701ed8fa6e614053dd9dbeef379837f3</cites></display><links><openurl>$$Topenurl_article</openurl><openurlfulltext>$$Topenurlfull_article</openurlfulltext><thumbnail>$$Tsyndetics_thumb_exl</thumbnail><linktopdf>$$Uhttps://onlinelibrary.wiley.com/doi/pdf/10.1111%2Fj.1532-5415.1997.tb03100.x$$EPDF$$P50$$Gwiley$$H</linktopdf><linktohtml>$$Uhttps://onlinelibrary.wiley.com/doi/full/10.1111%2Fj.1532-5415.1997.tb03100.x$$EHTML$$P50$$Gwiley$$H</linktohtml><link.rule.ids>314,780,784,1417,27924,27925,31000,45574,45575</link.rule.ids><backlink>$$Uhttp://pascal-francis.inist.fr/vibad/index.php?action=getRecordDetail&idt=2684156$$DView record in Pascal Francis$$Hfree_for_read</backlink><backlink>$$Uhttps://www.ncbi.nlm.nih.gov/pubmed/9158589$$D View this record in MEDLINE/PubMed$$Hfree_for_read</backlink></links><search><creatorcontrib>Fama, Teresa</creatorcontrib><creatorcontrib>Fox, Peter D.</creatorcontrib><title>Efforts to Improve Primary Care Delivery to Nursing Home Residents</title><title>Journal of the American Geriatrics Society (JAGS)</title><addtitle>J Am Geriatr Soc</addtitle><description>OBJECTIVE: To describe a primary care practice model used by health maintenance organizations (HMOs) that serve Medicare beneficiaries to improve the provision of primary care to nursing home residents.
PARTICIPANTS: Medicare beneficiaries who reside in nursing homes and who are enrolled in HMOs.
CONCLUSION: Several HMOs are using physician‐nurse practitioner teams to provide primary care to nursing home residents. The potential to improve the delivery of these services in nursing homes, particularly to long‐stay residents, is apparent. However, obstacles arise in developing this practice model in HMOs, including difficulty recruiting both nurse practitioners and physicians and the lack of HMO‐based research on the effects of such a model.</description><subject>Aged</subject><subject>Aged, 80 and over</subject><subject>Biological and medical sciences</subject><subject>Elderly people</subject><subject>Fee-for-Service Plans</subject><subject>Female</subject><subject>Health care networks</subject><subject>Health Maintenance Organizations - standards</subject><subject>Health services utilization</subject><subject>Humans</subject><subject>Improvements</subject><subject>Long-Term Care - standards</subject><subject>Male</subject><subject>Medical sciences</subject><subject>Medicare</subject><subject>Models, Organizational</subject><subject>Nursing homes</subject><subject>Nursing Homes - economics</subject><subject>Nursing Homes - standards</subject><subject>Patient Care Team</subject><subject>Prevention and actions</subject><subject>Primary health care</subject><subject>Primary Health Care - standards</subject><subject>Public health. Hygiene</subject><subject>Public health. Hygiene-occupational medicine</subject><subject>Quality Assurance, Health Care - organization & administration</subject><subject>Service delivery</subject><subject>Specific populations (family, woman, child, elderly...)</subject><subject>United States</subject><subject>USA</subject><issn>0002-8614</issn><issn>1532-5415</issn><fulltext>true</fulltext><rsrctype>article</rsrctype><creationdate>1997</creationdate><recordtype>article</recordtype><sourceid>EIF</sourceid><sourceid>7QJ</sourceid><recordid>eNqVkUtv1TAQhS0EKreFn4AUVYhdwviV2GwQ3Ja0VVUqKGJpOckE5ZJHsZNy--9xlOgu2CC8sa3zzfH4DCGnFBIa1ttdQiVnsRRUJlTrLBkL4BQg2T8hm4P0lGwAgMUqpeI5OfZ-B0AZKHVEjjSVSiq9IR_P63pwo4_GIbrs7t3wgNGtazrrHqOtdRidYds8YLgF4GZyvul_RBdDh9EX9E2F_ehfkGe1bT2-XPcT8u3T-d32Ir7-nF9uP1zHpdAS4kKUKJkupUiVplRIWwpRpUWdapEyRVkGFCtV2xRDwyB5VemqQKx5phXPan5C3iy-octfE_rRdI0vsW1tj8PkTaYBJAP2T1BmQgMHHcDTv8DdMLk-fMIwClxBxiBA7xaodIP3Dmtzv-RjKJh5HGZn5szNnLmZx2HWcZh9KH61vjAVHVaH0jX_oL9edetL29bO9mXjDxhLVTBNA_Z-wX43LT7-RwPmKv86n4JDvDg0fsT9wcG6nybNeCbN95vcqJzecbi6NTn_A3SOs5s</recordid><startdate>199705</startdate><enddate>199705</enddate><creator>Fama, Teresa</creator><creator>Fox, Peter D.</creator><general>Blackwell Publishing Ltd</general><general>Blackwell</general><general>Wiley Subscription Services, Inc</general><scope>BSCLL</scope><scope>IQODW</scope><scope>CGR</scope><scope>CUY</scope><scope>CVF</scope><scope>ECM</scope><scope>EIF</scope><scope>NPM</scope><scope>AAYXX</scope><scope>CITATION</scope><scope>7QP</scope><scope>7TK</scope><scope>K9.</scope><scope>NAPCQ</scope><scope>7QJ</scope><scope>7X8</scope></search><sort><creationdate>199705</creationdate><title>Efforts to Improve Primary Care Delivery to Nursing Home Residents</title><author>Fama, Teresa ; Fox, Peter D.</author></sort><facets><frbrtype>5</frbrtype><frbrgroupid>cdi_FETCH-LOGICAL-c4950-b4ce529c546891145ac44d6bf69462812701ed8fa6e614053dd9dbeef379837f3</frbrgroupid><rsrctype>articles</rsrctype><prefilter>articles</prefilter><language>eng</language><creationdate>1997</creationdate><topic>Aged</topic><topic>Aged, 80 and over</topic><topic>Biological and medical sciences</topic><topic>Elderly people</topic><topic>Fee-for-Service Plans</topic><topic>Female</topic><topic>Health care networks</topic><topic>Health Maintenance Organizations - standards</topic><topic>Health services utilization</topic><topic>Humans</topic><topic>Improvements</topic><topic>Long-Term Care - standards</topic><topic>Male</topic><topic>Medical sciences</topic><topic>Medicare</topic><topic>Models, Organizational</topic><topic>Nursing homes</topic><topic>Nursing Homes - economics</topic><topic>Nursing Homes - standards</topic><topic>Patient Care Team</topic><topic>Prevention and actions</topic><topic>Primary health care</topic><topic>Primary Health Care - standards</topic><topic>Public health. Hygiene</topic><topic>Public health. Hygiene-occupational medicine</topic><topic>Quality Assurance, Health Care - organization & administration</topic><topic>Service delivery</topic><topic>Specific populations (family, woman, child, elderly...)</topic><topic>United States</topic><topic>USA</topic><toplevel>peer_reviewed</toplevel><toplevel>online_resources</toplevel><creatorcontrib>Fama, Teresa</creatorcontrib><creatorcontrib>Fox, Peter D.</creatorcontrib><collection>Istex</collection><collection>Pascal-Francis</collection><collection>Medline</collection><collection>MEDLINE</collection><collection>MEDLINE (Ovid)</collection><collection>MEDLINE</collection><collection>MEDLINE</collection><collection>PubMed</collection><collection>CrossRef</collection><collection>Calcium & Calcified Tissue Abstracts</collection><collection>Neurosciences Abstracts</collection><collection>ProQuest Health & Medical Complete (Alumni)</collection><collection>Nursing & Allied Health Premium</collection><collection>Applied Social Sciences Index & Abstracts (ASSIA)</collection><collection>MEDLINE - Academic</collection><jtitle>Journal of the American Geriatrics Society (JAGS)</jtitle></facets><delivery><delcategory>Remote Search Resource</delcategory><fulltext>fulltext</fulltext></delivery><addata><au>Fama, Teresa</au><au>Fox, Peter D.</au><format>journal</format><genre>article</genre><ristype>JOUR</ristype><atitle>Efforts to Improve Primary Care Delivery to Nursing Home Residents</atitle><jtitle>Journal of the American Geriatrics Society (JAGS)</jtitle><addtitle>J Am Geriatr Soc</addtitle><date>1997-05</date><risdate>1997</risdate><volume>45</volume><issue>5</issue><spage>627</spage><epage>632</epage><pages>627-632</pages><issn>0002-8614</issn><eissn>1532-5415</eissn><coden>JAGSAF</coden><abstract>OBJECTIVE: To describe a primary care practice model used by health maintenance organizations (HMOs) that serve Medicare beneficiaries to improve the provision of primary care to nursing home residents.
PARTICIPANTS: Medicare beneficiaries who reside in nursing homes and who are enrolled in HMOs.
CONCLUSION: Several HMOs are using physician‐nurse practitioner teams to provide primary care to nursing home residents. The potential to improve the delivery of these services in nursing homes, particularly to long‐stay residents, is apparent. However, obstacles arise in developing this practice model in HMOs, including difficulty recruiting both nurse practitioners and physicians and the lack of HMO‐based research on the effects of such a model.</abstract><cop>Oxford, UK</cop><pub>Blackwell Publishing Ltd</pub><pmid>9158589</pmid><doi>10.1111/j.1532-5415.1997.tb03100.x</doi><tpages>6</tpages></addata></record> |
| fulltext | fulltext |
| identifier | ISSN: 0002-8614 |
| ispartof | Journal of the American Geriatrics Society (JAGS), 1997-05, Vol.45 (5), p.627-632 |
| issn | 0002-8614 1532-5415 |
| language | eng |
| recordid | cdi_proquest_miscellaneous_79005202 |
| source | MEDLINE; Applied Social Sciences Index & Abstracts (ASSIA); Wiley Online Library All Journals |
| subjects | Aged Aged, 80 and over Biological and medical sciences Elderly people Fee-for-Service Plans Female Health care networks Health Maintenance Organizations - standards Health services utilization Humans Improvements Long-Term Care - standards Male Medical sciences Medicare Models, Organizational Nursing homes Nursing Homes - economics Nursing Homes - standards Patient Care Team Prevention and actions Primary health care Primary Health Care - standards Public health. Hygiene Public health. Hygiene-occupational medicine Quality Assurance, Health Care - organization & administration Service delivery Specific populations (family, woman, child, elderly...) United States USA |
| title | Efforts to Improve Primary Care Delivery to Nursing Home Residents |
| url | https://sfx.bib-bvb.de/sfx_tum?ctx_ver=Z39.88-2004&ctx_enc=info:ofi/enc:UTF-8&ctx_tim=2025-01-07T00%3A23%3A02IST&url_ver=Z39.88-2004&url_ctx_fmt=infofi/fmt:kev:mtx:ctx&rfr_id=info:sid/primo.exlibrisgroup.com:primo3-Article-proquest_cross&rft_val_fmt=info:ofi/fmt:kev:mtx:journal&rft.genre=article&rft.atitle=Efforts%20to%20Improve%20Primary%20Care%20Delivery%20to%20Nursing%20Home%20Residents&rft.jtitle=Journal%20of%20the%20American%20Geriatrics%20Society%20(JAGS)&rft.au=Fama,%20Teresa&rft.date=1997-05&rft.volume=45&rft.issue=5&rft.spage=627&rft.epage=632&rft.pages=627-632&rft.issn=0002-8614&rft.eissn=1532-5415&rft.coden=JAGSAF&rft_id=info:doi/10.1111/j.1532-5415.1997.tb03100.x&rft_dat=%3Cproquest_cross%3E13237155%3C/proquest_cross%3E%3Curl%3E%3C/url%3E&disable_directlink=true&sfx.directlink=off&sfx.report_link=0&rft_id=info:oai/&rft_pqid=210380720&rft_id=info:pmid/9158589&rfr_iscdi=true |