Chronic care clinics: Why don't they work?

Article Abstract:

Chronic care clinics don't work, but the reasons are not clear. Older people in some cases develop chronic iollnesses that require careful evaluatio and appropriate treatment, but few primary care practices are prepared to give the comprehensive assessment needed. It is important to continue to develop more effective ways to set up effective health behaviors in patients and providers. Some elements of the healthcare delivery system must be refined. A comprehensive patient profile based on function is needed so those at risk for function changes can be targeted more selectively and health services and patients matched.

Care and treatment, Aged, Elderly, Statistical Data Included, Research, Ambulatory care facilities, Chronic diseases, Clinics

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The short-term effect of interdisciplinary medication review on function and cost in ambulatory elderly people

Article Abstract:

A study to analyze the effect of medication review by a specialized team in regimen changes in elders taking multiple medications and to measure the effect of regimen changes on monthly cost and functioning is given. The results propose the intervention reduced the medications taken and monthly cost significantly.

Research and Development in the Physical, Engineering, and Life Sciences, Research and Testing Services, Geriatric Research, Drug therapy, Comorbid patients

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Factors contributing to dehydration in nursing homes: inadequate staffing and lack of professional supervision

Article Abstract:

Nursing home patients in a facility with inadequate staffing and poor supervision and with dysphagia, severe cognitive impairment and a lack of family or friends to help them at mealtime are probably candidates for dehydration. Simple interventions for ensuring adequate fluid intake are listed.

Health aspects, Risk factors, Dehydration (Physiology), Nursing home patients

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