scholarly journals Cost-Induced Unmet Need for Health Care among Europe's Older Adults - The Role of Specific Diseases

2021 ◽  
Vol 7 (2) ◽  
pp. 210-222
Author(s):  
Veronika Kočiš Krůtilová ◽  
Lewe Bahnsen
Keyword(s):  
Older Adults ◽  
Health Care ◽  
Unmet Need

The role of a geriatrician in a cancer center.

2016 ◽  
Vol 34 (3_suppl) ◽  
pp. 39-39 ◽  
Author(s):  
Beatriz Korc-Grodzicki ◽  
Sung W. Sun ◽  
Armin Shahrokni ◽  
Koshy Alexander ◽  
Soo Jung Kim ◽  
...  
Keyword(s):  
Older Adults ◽  
Risk Assessment ◽  
Nurse Practitioners ◽  
Transitional Care ◽  
Unmet Need ◽  
Cancer Center ◽  
Ongoing Research ◽  
Increased Risk

39 Background: Older adults are likely to have coexisting health conditions, polypharmacy and functional limitations. The geriatrician may have a pivotal role in risk assessment, prevention and treatment of comorbidities and addressing geriatric syndromes. The purpose of this study is to describe the growth and development of, and the role of a Geriatrics Service (GS) in a cancer center. Methods: A GS was founded in MSKCC in 2009. Since then it has grown to provide inpatient (IP) and outpatient (OP) care for older adults undergoing cancer diagnosis, surveillance or active treatment. It offers preoperative evaluations, geriatric assessment (GA) and follow-up shared- care. Recently, a Transitional Care Management (TCM) program was established for patients at increased risk of rehospitalization. The GS strives to develop an interprofessional educational geriatrics curriculum and to participate in quality and research projects focused on cancer and aging. Results: Between 2009 and 2014 a total of 6679 new patients were evaluated by the GS. 16% of the patients were 65-75, 70% were 76-85 and 14% were older than 85. 46% were male and 84% were white. 15% were IP and 85% were OP consultations. 13% of the OP consults were for GA, the rest were preoperative evaluations. All patients seen preoperatively who are admitted after surgery, are followed postoperatively by the IP geriatrics team. In total, 4 Geriatricians, 2 Geriatric Nurse Practitioners (GNP) and 3 RNs were recruited. The number of follow-up visits increased from 143 in 2009 to 733 in 2014. The new TCM program based on close communication between the IP and OP GNP has been successful in keeping frail patients from frequent rehospitalizations. Noon conferences on geriatrics for the house staff, a biannual course on “Advancing Nursing Expertise in the Care of Older Adults with Cancer” and a monthly interprofessional meeting for the discussion of Geriatric Clinical Complex Cases (GCCC) are ongoing. Research has focused on risk assessment and the use of telemedicine in geriatric patient care. Conclusions: The establishment of a GS in a cancer center was very well received and embraced by the oncologists showing an unmet need in the care of the older cancer patient. The potential reproducibility beyond the cancer center will be discussed.

scholarly journals Health Care Engagement Among LGBT Older Adults: The Role of Depression Diagnosis and Symptomatology

2017 ◽  
Vol 57 (suppl 1) ◽  
pp. S105-S114 ◽  
Author(s):  
Chengshi Shiu ◽  
Hyun-Jun Kim ◽  
Karen Fredriksen-Goldsen
Keyword(s):  
Older Adults ◽  
Health Care ◽  
Depression Diagnosis ◽  
Health Care Engagement

scholarly journals Physical Activity, Exercise, and Physical Rehabilitation

2021 ◽  
pp. 189-198
Author(s):  
Camila Astolphi Lima ◽  
Renato Barbosa dos Santos ◽  
Monica Rodrigues Perracini
Keyword(s):  
Physical Activity ◽  
Older Adults ◽  
Health Care ◽  
Health Care Professionals ◽  
Current Evidence ◽  
Geriatric Syndromes ◽  
Positive Health ◽  
Health Trajectories ◽  
The Life Course

AbstractEnhancing physical activity promotes positive health trajectories throughout the life course. Physical activity should be tailored and graded to suit older adults’ capacities and needs and can be combined with rehabilitation interventions to manage geriatric syndromes and disability. This chapter provides a summary of current evidence about the role of physical activity for older adults, emphasizing nutritional aspects. We also present strategies to help health-care professionals to enhance physical activity participation.

scholarly journals Rehabilitation of Aging Persons: The Past, The Present & The Promise

2020 ◽  
Vol 4 (Supplement_1) ◽  
pp. 867-867
Author(s):  
Kenneth Ottenbacher
Keyword(s):  
Older Adults ◽  
Health Care ◽  
Acute Care ◽  
Minority Health ◽  
Data Science ◽  
Rehabilitation Outcomes ◽  
The Past ◽  
Status Mobility ◽  
Aging Persons

Abstract The 2020 Excellence in Rehabilitation of Aging Persons Award presentation will address my efforts over the past 35 years related to research methods, functional status, mobility, and self-care. Studies conducted in the past 25 years on disability and recovery in older adults with an emphasis on minority health will be presented. Research examining rehabilitation outcomes related to health care reform including the Improving Medicare Post-Acute Care Transformation (IMPACT) Act, and using Medicare files, will be described. The role of Data Science and Discovery, as defined by the NIH and related to rehabilitation in older adults, will also be presented.

Information needs on vaccinations for older adults and the role of health care professionals in this

2020 ◽  
Vol 30 (Supplement_5) ◽  
Author(s):  
A Caputo ◽  
R Eilers ◽  
A Gagneux-Brunon ◽  
R Gavioli ◽  
I Jakab ◽  
...  
Keyword(s):  
Older Adults ◽  
Health Care ◽  
Health Care Professionals ◽  
Information Needs ◽  
Work Package

Abstract On behalf of all members of work package 4 from the VITAL project

scholarly journals Disparities in the Prevalence of Unmet Needs and Their Consequences Among Black and White Older Adults

2017 ◽  
Vol 30 (9) ◽  
pp. 1427-1449 ◽  
Author(s):  
Clara Berridge ◽  
Vincent Mor
Keyword(s):  
Older Adults ◽  
Nursing Home ◽  
Unmet Needs ◽  
Multinomial Logistic Regression ◽  
Unmet Need ◽  
Black And White ◽  
Nursing Home Entry ◽  
Home Placement ◽  
The Relationship

Objective:We document differential prevalence of need for assistance with personal, instrumental, and mobility tasks and adverse consequences of unmet needs, nursing home relocation, and mortality among Black and White older adults. Method: Data are from the National Health and Aging Trends Study. Using logistic and multinomial logistic regression, we determine whether race is predictive of reporting need or adverse consequence and test the role of race as a moderator of the relationship between baseline need and three 1-year outcomes. Results: Black older adults are more likely to experience a consequence of unmet need (35.33% vs. 29.97%, p = .028) in unadjusted models. In adjusted models, we find no moderating effect of race on baseline need on nursing home placement (0.00, 95% confidence interval [CI] = [−2.43, 2.42], p = .991), mortality (0.73, 95% = [−1.58, 0.11], p = .089), or a Round 2 consequence of unmet (−0.51, 95% CI = [−1.15, 0.14], p = .121). Discussion: This work highlights the complex relationship between race, need, unmet need, mortality, and nursing home entry.

scholarly journals Perceived Need for Mental Health Care and Associated Factors and Outcomes in Older Adults Consulting in Primary Care

2021 ◽  
pp. 070674372110554
Author(s):  
Catherine Lamoureux-Lamarche ◽  
Djamal Berbiche ◽  
Helen-Maria Vasiliadis
Keyword(s):  
Mental Health ◽  
Older Adults ◽  
Primary Care ◽  
Health Care ◽  
Unmet Need ◽  
Need For Care ◽  
Societal Costs ◽  
Perceived Need ◽  
Health Related

Objective To assess the individual and health system factors and health-related outcomes associated with perceived need for mental health care in older adults consulting in primary care. Method This longitudinal cohort study was conducted among 771 cognitively intact older adults aged ≥65 years recruited in primary care practices in Quebec between 2011 and 2013 and followed 4 years later. Predisposing, enabling and need factors were based on Andersen’s framework on help-seeking behaviors. Health-related outcomes included course of common mental disorders (CMDs), change in quality of life and societal costs. Perceived need for care (PNC) was categorized as no need, met and unmet need. Multinomial regression analyses were conducted to assess the association between study variables and PNC in the overall and the subsample of participants with a CMD at baseline. Results As compared with individuals reporting no need, those with an unmet need were more likely to have cognitive decline and lower continuity of care; while those with a met need were more likely to report decreased health-related quality of life. As compared with individuals with an unmet need, those reporting a met need were more likely to report ≥ 3 physical diseases and an incident and persistent CMD, and less likely to show cognitive decline. In participants with a CMD, individuals reporting a met as compared with no need were more likely to be categorized as receiving minimally adequate care and a persistent CMD. Need for care was not associated with societal costs related to health service use. Conclusions Overall, physicians should focus on individuals with cognitive impairment and lower continuity of care which was associated with unmet mental health need. Improved follow-up in these populations may improve health care needs and outcomes.

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