scholarly journals The Program of All-Inclusive Care for the Elderly (PACE): The Innovative and Economically Viable Model of American Geriatric Care

2017 ◽  
Vol 16 (1) ◽  
pp. 51-61 ◽  
Author(s):  
Urszula Polska
Keyword(s):  
Medical Care ◽  
Institutional Care ◽  
The Elderly ◽  
Fast Response ◽  
Geriatric Care ◽  
Economic Consequences ◽  
Loved One ◽  
Care For The Elderly ◽  
The Us ◽  
Healthcare Model

AbstractThe aim of this paper is to present a modern model of non-institutional geriatric care which operates in the US, called the Program of All-Inclusive Care for the Elderly (PACE). The economic consequences of an aging population with multiple chronic diseases are creating new solutions in the delivery of medical care. The author of the following article, based on review of PACE literature and her own experience, will focus on the history of the program, its nature, the social and economic advantages, and its efficacy in practice. In addition, the difficulties and limitations of PACE are analyzed, taking into account solutions for increased availability and popularization of the program on an international scale.Author currently works as an ANP at Mercy LIFE (Living Independently For Elders) of Alabama, a PACE organization, delivering primary care. She has identified a need for a model similar to PACE in the context of her own home country of Poland, where cultural and societal norms value caring for a loved one in his or her own household rather than institutional care.The author concludes that the PACE model would be indispensable as a geriatric healthcare model for countries outside the US experiencing a rapid growth in elderly patients resulting from demographic shifts common in the 21st century. Fast response is needed in creation of a similar program to PACE to prevent future economical consequences affecting medical care for the elderly.

scholarly journals Beyond the Standards of Health Care for the Elderly

2016 ◽  
Vol 15 (4) ◽  
pp. 60-65
Author(s):  
Małgorzata Pabiś ◽  
Dorota Kuncewicz
Keyword(s):  
Health Care ◽  
Elderly Person ◽  
Institutional Care ◽  
The Elderly ◽  
Geriatric Care ◽  
World Health ◽  
Standards Of Care ◽  
Specific Expression ◽  
Care For The Elderly ◽  
Relational Aspect

Abstract Aim. The objective of the study was discussion of the important aspects of care for the elderly, to whom the standards of geriatric care do not apply.Material and methods. In accordance with the designed goal, the analysis included selected literature concerning: the quality of health care standards for the elderly, complex model of geriatric care from the qualitative aspect, institutional care and psychological aspect of the seniors’ stage of life.Results. Standards of care for the elderly differ from each other by the area they refer to and way and level of specificity of reports. The recommendations by the World Health Organization are very general, while the standards by the Polish team of geriatricians and gerontologists present very detailed recommendations. In turn, in the Charter for the Elderly, the authors draw attention to the fact that not only medical services influence the process of treatment of an elderly person, but also: economic, social, and family conditions in which he/she lives. Taking care for an elderly person by the family is an ideal solution. However, when this is not possible, this function is taken over by care institutions. The institutional care, as perceived by the elderly, should be a substitute of family life - this is a specific expression of the desire that the care for an elderly person should not be brought down to service, but should also consider the relational aspect of caring. Unfortunately, this aspect is relatively consequently omitted in standards. In relation to this absence, the relational aspect of care is handled more comprehensively in the presented article.

PROFIT LEVELS STAGNATING AT HOSPITALS

PEDIATRICS ◽  
1995 ◽  
Vol 95 (4) ◽  
pp. 597-597
Author(s):  
J. F. L.
Keyword(s):  
Health Care ◽  
Medical Care ◽  
The Elderly ◽  
Health Care Executives ◽  
Profit Margins ◽  
Care For The Elderly ◽  
The Poor

Profit margins at most hospitals across the country declined or stagnated last year, reflecting growing pressure on them to reduce costs. And health care executives said many hospitals would be under even greater pressure in 1995 if Congress enacted proposals that would slash spending for medical care for the elderly and the poor. At investor-owned hospitals, the outlook is brighter, because many of them have moved aggressively to merge and cut costs. Profit at these hospitals has risen in the 1990s.

scholarly journals Clinical and economic strategies in outpatient medical care during the COVID-19 pandemic

2020 ◽  
Vol 45 (8) ◽  
pp. 579-585 ◽  
Author(s):  
David Anthony Provenzano ◽  
B Todd Sitzman ◽  
Samuel Ambrose Florentino ◽  
Glenn A Buterbaugh
Keyword(s):  
Medical Care ◽  
Clinical Care ◽  
Economic Consequences ◽  
Financial Indicators ◽  
Medical Practices ◽  
Strategic Plans ◽  
Economic Strategies ◽  
The Us ◽  
Insight Into

The COVID-19 pandemic has resulted in significant clinical and economic consequences for medical practices of all specialties across the nation. Although the clinical implications are of the utmost importance, the economic consequences have also been serious and resulted in substantial damage to the US healthcare system, including pain practices. Outpatient pain practices have had to significantly change their clinical care pathways, including the incorporation of telemedicine. Elective medical and interventional care has been postponed. For the most part, ambulatory surgical centers have had to cease operations. As patient volumes have decreased for non-emergent elective care, the financial indicators have deteriorated. This review article will provide insight into solutions to mitigate the clinical and economic challenges induced by COVID-19. Undoubtedly, the COVID-19 pandemic will have short-term and long-term implications for all medical practices and facilities. In order to survive, medical practices will need dynamic, operational, and creative strategic plans to mitigate the disruption in medical care and pathways for successful reintegration of clinical and surgical practice.

Institutional Care for the Elderly in the 19th Century: Old People in The Hague and their Institutions

1992 ◽  
Vol 12 (2) ◽  
pp. 185-212
Author(s):  
Willem Jan Van Der Veen ◽  
Frans Van Poppel
Keyword(s):  
Elderly Population ◽  
Institutional Care ◽  
The Elderly ◽  
Poor Relief ◽  
Female Age ◽  
Care For The Elderly ◽  
Homes For The Elderly ◽  
The Hague ◽  
The 19Th Century ◽  
The Church

ABSTRACTThis study focuses on the residents of three ecclesiastical homes for the elderly in The Hague in the i9th century. These homes took in poor members of the church who were at least 60 years old. Most of the elderly who resided in these homes had received poor relief before their admission. The main reason for their decision to request admission to a home was that they were no longer able to run a household independently. Most of the residents were well past the age of 60 upon entering the home, women generally being a few years older than men. There were no significant gender differences in duration of residence. The female age at death was a few years higher than for males. The health of the residents appeared to be worse than that of the total elderly population of The Hague, resulting in a higher death rate. In general, residents had independently run a household prior to admission.

Using intelligent, interactive LED lighting systems in the development of medical care for the elderly

2017 ◽  
Vol 1 ◽  
pp. 1-1
Author(s):  
Shang-Lin Hsieh ◽  
Chien-Hsuan Huang ◽  
Shou-Chuan Shih ◽  
Wen-Han Chang
Keyword(s):  
Medical Care ◽  
The Elderly ◽  
Led Lighting ◽  
Care For The Elderly ◽  
Lighting Systems

Program of All-inclusive Care for the Elderly (PACE): An Innovative Model of Integrated Geriatric Care and Financing

1997 ◽  
Vol 45 (2) ◽  
pp. 223-232 ◽  
Author(s):  
Catherine Eng ◽  
James Pedulla ◽  
G. Paul Eleazer ◽  
Robert McCann ◽  
Norris Fox
Keyword(s):  
The Elderly ◽  
Geriatric Care ◽  
Care For The Elderly ◽  
Innovative Model
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