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Article: Nursing home residents covered by medicare risk contracts: Early findings from the EverCare evaluation project

TitleNursing home residents covered by medicare risk contracts: Early findings from the EverCare evaluation project
Authors
Issue Date2002
PublisherBlackwell Publishing, Inc. The Journal's web site is located at http://www.blackwellpublishing.com/journals/JGS
Citation
Journal Of The American Geriatrics Society, 2002, v. 50 n. 4, p. 719-727 How to Cite?
AbstractOBJECTIVES: To compare the characteristics of a sample of EverCare nursing home residents with two control groups: one composed of other residents in the same homes and another made up of residents in matched nursing homes. To compare levels of unmet need, satisfaction with medical care, and the use of advance directives. DESIGN: Quasi-experimental design using two control groups to minimize selection effects. Information collected by in-person surveys of nursing home residents and telephone surveys of proxies and family members. SETTING: Nursing homes affiliated with EverCare and matched control homes. PARTICIPANTS: Nursing home residents and their family members. MEASUREMENTS: Questionnaire addressing function (activities of daily living (ADLs)), unmet care needs, pain, use of advance directives, satisfaction, and caregiver burden. RESULTS: In general, the experimental and control groups were similar, but the EverCare sample had more dementia and less ADL disability. Family members in the EverCare sample expressed greater satisfaction with several aspects of the medical care they received than did controls. Satisfaction of residents in the EverCare sample was more comparable with that of controls. There was no difference in experience with advance directives between EverCare and control groups. CONCLUSIONS: EverCare appears to be a model of managed care worth tracking. It is producing care that is at least comparable with what is available in the fee-for-service environment, with evidence that families seem to appreciate the added attention. There is some suggestion that it has enrolled a less disabled but more demented population. Pending results on the effects of this care on hospitalization and emergency care should shed useful light.
Persistent Identifierhttp://hdl.handle.net/10722/172062
ISSN
2015 Impact Factor: 3.842
2015 SCImago Journal Rankings: 2.236
ISI Accession Number ID
References

 

DC FieldValueLanguage
dc.contributor.authorKane, RLen_US
dc.contributor.authorFlood, Sen_US
dc.contributor.authorKeckhafer, Gen_US
dc.contributor.authorBershadsky, Ben_US
dc.contributor.authorLum, YSen_US
dc.date.accessioned2012-10-30T06:19:53Z-
dc.date.available2012-10-30T06:19:53Z-
dc.date.issued2002en_US
dc.identifier.citationJournal Of The American Geriatrics Society, 2002, v. 50 n. 4, p. 719-727en_US
dc.identifier.issn0002-8614en_US
dc.identifier.urihttp://hdl.handle.net/10722/172062-
dc.description.abstractOBJECTIVES: To compare the characteristics of a sample of EverCare nursing home residents with two control groups: one composed of other residents in the same homes and another made up of residents in matched nursing homes. To compare levels of unmet need, satisfaction with medical care, and the use of advance directives. DESIGN: Quasi-experimental design using two control groups to minimize selection effects. Information collected by in-person surveys of nursing home residents and telephone surveys of proxies and family members. SETTING: Nursing homes affiliated with EverCare and matched control homes. PARTICIPANTS: Nursing home residents and their family members. MEASUREMENTS: Questionnaire addressing function (activities of daily living (ADLs)), unmet care needs, pain, use of advance directives, satisfaction, and caregiver burden. RESULTS: In general, the experimental and control groups were similar, but the EverCare sample had more dementia and less ADL disability. Family members in the EverCare sample expressed greater satisfaction with several aspects of the medical care they received than did controls. Satisfaction of residents in the EverCare sample was more comparable with that of controls. There was no difference in experience with advance directives between EverCare and control groups. CONCLUSIONS: EverCare appears to be a model of managed care worth tracking. It is producing care that is at least comparable with what is available in the fee-for-service environment, with evidence that families seem to appreciate the added attention. There is some suggestion that it has enrolled a less disabled but more demented population. Pending results on the effects of this care on hospitalization and emergency care should shed useful light.en_US
dc.languageengen_US
dc.publisherBlackwell Publishing, Inc. The Journal's web site is located at http://www.blackwellpublishing.com/journals/JGSen_US
dc.relation.ispartofJournal of the American Geriatrics Societyen_US
dc.subject.meshActivities Of Daily Livingen_US
dc.subject.meshAgeden_US
dc.subject.meshAged, 80 And Overen_US
dc.subject.meshCase-Control Studiesen_US
dc.subject.meshConsumer Satisfactionen_US
dc.subject.meshFemaleen_US
dc.subject.meshHealth Statusen_US
dc.subject.meshHumansen_US
dc.subject.meshMaleen_US
dc.subject.meshManaged Care Programsen_US
dc.subject.meshMedicareen_US
dc.subject.meshNursing Homes - Organization & Administrationen_US
dc.subject.meshQuestionnairesen_US
dc.subject.meshUnited Statesen_US
dc.titleNursing home residents covered by medicare risk contracts: Early findings from the EverCare evaluation projecten_US
dc.typeArticleen_US
dc.identifier.emailLum, YS: tlum@hku.hken_US
dc.identifier.authorityLum, YS=rp01513en_US
dc.description.naturelink_to_subscribed_fulltexten_US
dc.identifier.doi10.1046/j.1532-5415.2002.50168.xen_US
dc.identifier.pmid11982674-
dc.identifier.scopuseid_2-s2.0-0036220506en_US
dc.relation.referenceshttp://www.scopus.com/mlt/select.url?eid=2-s2.0-0036220506&selection=ref&src=s&origin=recordpageen_US
dc.identifier.volume50en_US
dc.identifier.issue4en_US
dc.identifier.spage719en_US
dc.identifier.epage727en_US
dc.identifier.isiWOS:000174963600017-
dc.publisher.placeUnited Statesen_US
dc.identifier.scopusauthoridKane, RL=7402265271en_US
dc.identifier.scopusauthoridFlood, S=7003314916en_US
dc.identifier.scopusauthoridKeckhafer, G=6507699398en_US
dc.identifier.scopusauthoridBershadsky, B=6701611351en_US
dc.identifier.scopusauthoridLum, YS=8615080500en_US

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