scholarly journals Novel Technology Support Program for Older Adult Program With Interprofessional Geriatrics Students

2021 ◽  
Vol 5 (Supplement_1) ◽  
pp. 633-634
Author(s):  
Bonnie Olsen ◽  
Freddi Segal-Gidan ◽  
Erin Thayer ◽  
Yeini Guardia ◽  
M Christina Penate ◽  
...  
Keyword(s):  
Older Adults ◽  
Primary Care ◽  
Los Angeles ◽  
Social Connectedness ◽  
Language Translation ◽  
Health Professions ◽  
Technology Support ◽  
Care Services ◽  
Use Of Technology ◽  
Primary Care Services

Abstract During the COVID-19 pandemic, many older adults were not receiving primary care services because they could not negotiate the technology for telehealth visits. Coupled with persisting pandemic physical distancing, increased social isolation in older adults was- and continues to be a significant problem. To combat these issues, we aimed to 1) prepare older adults for longitudinal isolation by encouraging social connectedness, and 2) enable older adults to safely access remote primary care services during the pandemic. We paired older adults from 9 housing sites in Los Angeles, CA with health professions graduate students from 9 programs at USC (N = 88 dyads) and provided iPhones to participants without a smartphone. Students educated and supported older adults about the use of technology to access primary care services and to socially connect with family/friends. When requested, 3 additional students provided enhanced 1:1 technology support. Among the 45 participating older adults who received iPhones (51.1%), 22 requests were made for enhanced technology assistance during the 6-month program. Most requests related to initial setup/navigation of iPhone (81.8%) or video calls (27.3%), where others requested help with Wi-Fi (13.6%), composing emails (4.5%), and adding language/translation features (4.5%). Nineteen (83%) technology support requests were successfully resolved; the remaining were unresolved due to loss to follow-up. Our findings demonstrate that older adults can successfully cross the digital divide when technology support is provided. Additionally, pairing older adults with health professions students is an effective strategy to enable access to remote primary care and social connectedness.

scholarly journals Evaluation of comprehensive care for older adults in primary care services

2020 ◽  
Vol 54 ◽  
pp. 6 ◽  
Author(s):  
Nádia Placideli ◽  
Elen Rose Lodeiro Castanheira ◽  
Adriano Dias ◽  
Pedro Alcântara Da Silva ◽  
Josiane Lozigia Fernandes Carrapato ◽  
...  
Keyword(s):  
Older Adults ◽  
Primary Care ◽  
Health Care ◽  
Sao Paulo ◽  
Service Performance ◽  
Comprehensive Care ◽  
Noncommunicable Diseases ◽  
São Paulo ◽  
Care Services ◽  
Primary Care Services

OBJECTIVE: To evaluate the performance of comprehensive care for older adults in primary care services in the Brazilian Unified Health System in the state of São Paulo, Brazil. METHODS: A total of 157 primary care services from five health regions in midwestern São Paulo responded, from October to December 2014, the pre-validated 2014 questionnaire for primary care services assessment and monitoring. We selected 155 questions, based on national policies and guidelines on this theme. The responses indicate the service performance in older adults’ care, clustered into three areas of analysis: health care for active and healthy aging (45 indicators, d1), chronic noncommunicable diseases care (89 indicators, d2), and support network in aging care (21 indicators, d3). Performance was measured by the sum of positive (value 1) or negative (value 0) responses for each indicator. Services were clustered according to k-means of the performance scores of each domain. After weighting the domains (Z tests), we estimated the associations between the scores of each domain and independent management variables (typology, planning and evaluation of services), with simple and multiple linear regression. RESULTS: Chronic noncommunicable diseases care (d2) showed, for all clusters, better average performance (55.7) than domains d1 (35.4) and d3 (39.2). Service performance in the general area of planning and evaluation associates with the performance of older adults’ care. CONCLUSIONS: The evaluated services had incipient implementation of comprehensive care for older adults. The evaluation framework can contribute to processes to improve the quality of primary health care.

When Do Older Adults Seek Primary Care Services for Depression?

2003 ◽  
Vol 191 (9) ◽  
pp. 619-622 ◽  
Author(s):  
Patrick W. Corrigan ◽  
Sandra Swantek ◽  
Amy C. Watson ◽  
Petra Kleinlein
Keyword(s):  
Older Adults ◽  
Primary Care ◽  
Care Services ◽  
Primary Care Services

Mental health and satisfaction with primary care services in older adults: a study from the patient perspective on four dimensions of care

2020 ◽  
Vol 37 (4) ◽  
pp. 459-464
Author(s):  
Isabelle Pitrou ◽  
Djamal Berbiche ◽  
Helen-Maria Vasiliadis
Keyword(s):  
Mental Health ◽  
Older Adults ◽  
Primary Care ◽  
Psychological Distress ◽  
Continuity Of Care ◽  
Care Provider ◽  
Four Dimensions ◽  
Care Services ◽  
Patient Interactions ◽  
Primary Care Services

Abstract Background Few studies have examined the association between mental health and satisfaction with primary care services in community-dwelling older adults. Objective To examine the association between mental health in older adults and low satisfaction with primary care services within four dimensions of care. Methods This secondary data analysis included 1624 older adults participating in the ‘Étude sur la Santé des Aînés Services’ (ESA-Services study) and recruited in primary care practices between 2011 and 2013 in the province of Quebec. Patient satisfaction and experience with care were assessed during face-to-face interviews with questions adapted from the Primary Care Assessment Survey. Self-reported mental health indicators included depression, anxiety, suicidal ideation, psychological distress and cognition. We conducted four logistic regressions to examine the associations between mental health and low satisfaction in the following dimensions of care: continuity of care, provider–patient interactions, adequacy of care and physical environment. Results Nearly half of participants (48.5%) reported low satisfaction in at least one dimension of care examined. High psychological distress was associated with low satisfaction with provider–patient interactions [odds ratio (OR) = 1.02; 95% confidence interval (CI) = 1.00–1.04] and adequacy of care (OR = 1.04; 95% CI = 1.01–1.06). The presence of an anxiety disorder was associated with low satisfaction in adequacy of care (OR = 1.64; 95% CI = 1.00–2.72). Worse cognitive functioning was associated with low satisfaction in continuity of care, provider–patient interaction and adequacy of care. Conclusions Mental health was consistently associated with low satisfaction within dimensions of care. Results support the need for increased attention when delivering care to older adults with mental health problems.

Long-term conditions in older adults using primary care services

2016 ◽  
Vol 26 (2) ◽  
pp. 31-35 ◽  
Author(s):  
Abdullah Alkhawaldeh ◽  
Omar ALOmari ◽  
Mohammed ALBashtawy ◽  
Ma’en Aljezawi ◽  
Mohammad Suliman ◽  
...  
Keyword(s):  
Older Adults ◽  
Primary Care ◽  
Long Term Conditions ◽  
Care Services ◽  
Primary Care Services

scholarly journals Screening Neurocognitive Disorders in Primary Care Services: The Quick Mild Cognitive Impairment Approach

2020 ◽  
Vol 4 (Supplement_1) ◽  
pp. 158-158
Author(s):  
Constanca Paul ◽  
Susana Sousa ◽  
Pedro Santos ◽  
Rónán O’Caoimh ◽  
William Molloy
Keyword(s):  
Mental Health ◽  
Primary Care ◽  
Cognitive Impairment ◽  
Community Sample ◽  
Neurocognitive Disorders ◽  
Cognitive Status ◽  
Health Concerns ◽  
Care Services ◽  
Primary Care Services ◽  
Mental Health Concerns

Abstract Neurocognitive Disorders (NCD) is an increasingly common condition in the community. The General Practitioner (GP) in Primary Care Services (PCS), have a crucial role in early detection of NCD and is usually the first professional to detect the signs of MCI. The objective of this study was to test the feasibility and utility of the cognitive screening instrument QMCI in Primary Care. A community sample of 436 people 65+ living in the community was randomly selected from a larger group of old people with mental health concerns (N=2734), referred by their GPs. The mean age of the sample was 75.2 years (sd 7.2), with 41.3% men and 58.7% women; 60.4% married followed by 28.7% widows. The education level was low with 21% illiterate and 69,8% people with 4 years education. The QMCI mean was 37.1/100 (sd 16.2). The amount of people screening positive for cognitive impairment QMCI (<62/100) was 94.2%. In the distribution of people with cognitive impairment by Global Deterioration Scale (GDS) three recoded categories, of the 286 people 76,1% where classified as having very mild or mild impairment, 19,4% moderate or moderately serious and 4,5% severe or very severe impairment. These results confirm the perception of GPs about their clients having mental health concerns and the ability of QMCI accurately discriminate MCI. The QMCI is very brief (3-5mins) fitting the short time of GPs to assess cognitive status and timely refer clients to nonpharmacological interventions that could postpone NCD symptoms.

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