Managed care as a vehicle for delivering more effective chronic care for older persons

Journal of the American Geriatrics Society

Volumn 46, Issue 8, 1998, Pages 1034-1039

  Kane, Robert L ^a  

^a UNIVERSITY OF MINNESOTA   (United States)

Author keywords

[No Author keywords available]

Indexed keywords

CERTIFICATION; CHRONIC DISEASE; ELDERLY CARE; HEALTH CARE QUALITY; HUMAN; HUMAN CELL; HUMAN TISSUE; MANAGED CARE; MEDICARE; REVIEW; RISK BENEFIT ANALYSIS; TREATMENT OUTCOME;

EID: 0031830523     PISSN: 00028614     EISSN: None     Source Type: Journal    
DOI: 10.1111/j.1532-5415.1998.tb02764.x     Document Type: Review

References (35)

1. Mauser E, Miller NA. A profile of home health users in 1992. Health Care Financ Rev 1994;16.
2. Welch HG, Wennberg DE, Welch WP. The use of Medicare home health services. N Engl J Med 1996;335:324-329.
3. Hoffman C, Rice D, Sung H-Y. Persons with chronic conditions: Their prevalence and costs. JAMA 1996;276:1473-1479.
4. Schneider EL, Guralnik JM. The aging of America: Impact on health care costs. JAMA 1990;263:2335-2340.
5. Drake DF. Managed care: A product of market dynamics. JAMA 1997;277:560-563.
6. Stuck AE, Aronow HU, Steiner A et al. A trial of annual in-home comprehensive geriatric assessments for elderly people living in the community. N Engl J Med 1995;333:1184-1189.
7. Emanuel EJ, Dubler NN. Preserving the physician-patient relationship in the era of managed care. JAMA 1995;273:323-329.
8. Stuck AE, Siu AL, Wieland GD et al. Comprehensive geriatric assessment: a meta-analysis of controlled trials. Lancet 1993;342:1032-1036.
9. Mundinger MO. Advanced-practice nursing - Good medicine for physicians? N Engl J Med 1994;330:211-214.
10. Gruenberg L, Kaganova E, Hornbrook MC. Improving the AAPCC with health-status measures from the MCBS. Health Care Financ Rev 1996;17:59-75.
11. Ellis R, Pope G, Iezzoni L et al. Diagnosis-based risk adjustment for Medicare capitation payments. Health Care Financ Rev 1996;17:101-128.
12. Morgan RO, Virnig, BA, DeVito CA, Persily NA. The Medicare-HMO revolving door The healthy go in and the sick go out. N Engl J Med 1997;337:169-175.
13. Rubenstein LZ, Josephson KR, Wieland GD et al. Effectiveness of a geriatric evaluation unit: A randomized clinical trial. N Engl J Med 1984;311:1664-1670.
14. Rich MW, Beckham V, Wittenberg C et al. A multidisciplinary intervention to prevent the readmission of elderly patients with congestive heart failure. N Engl J Med 1995;333:1190-1195.
15. Scott J, Robertson B. Kaiser's Colorado cooperative health clinic. A group approach to patient care. Managed Care Q 1996;4:41-45.
16. Beck A, Scott J, Williams P et al. A randomized trial of group outpatient visits for chronically ill older HMO members: The cooperative health care clinic. J Am Geriatr Soc 1997;45:543-549.
17. Wagner EH. The promise and performance of HMOs in improving outcomes in older adults. J Am Geriatr Soc 1996;44:1251-1257.
18. Boult C, Boult L, Murphy C et al. A controlled trial of outpatient geriatric evaluation and management. J Am Geriatr Soc 1994;42:465-470.
19. Rubenstein L, Wieland D, Bernabei R. Geriatric Assessment Technology: The State of the Art. Milan, Italy: Eidtrice Kurtis, 1995.
20. Carcagno GJ, Kemper P. The evaluation of the national long term care demonstration: An overview of the channeling demonstration and its evaluation. Health Serv Res 1988;23:1-22.
21. Kemper P. Evaluation of the National Channeling Demonstration: Overview of the findings. Health Serv Res 1988;23:161-174.
22. Kane RA. The noblest experiment of them all: Learning from the national channeling evaluation. Health Serv Res 1988;23:189-198.
23. Weissert WG. The National Channeling Demonstration: What we knew, know now, and still need to know. Health Serv Res 1988;23:175-187.
24. Greene VL, Lovely ME, Ondrich JI. The cost effectiveness of community services in a frail elderly population. Gerontologist 1993;33:177-89.
25. Challis D. Case management in social and health care: Lessons from a UK programme. J Case Manage 1993;2:79-90.
26. Pacala JT, Boult C, Hepburn KW et al. Case management of older adults in health maintenance organizations. J Am Geriatr Soc 1995;43:538-542.
27. Sherlaw-Johnson C, Mitchard J, Gallivan S et al. Displaying the long-term progression of patients with coronary artery disease. Br Heart J 1995;74:559-562.
28. Sonksen P, Williams C. Information technology in diabetes care 'Diabeta': 23 years of development and use of a computer-based record for diabetes care. Int J Biomed Comput 1996;42:67-77.
29. Field MJ, Lohr KN, eds. Institute of Medicine Guidelines for Clinical Practice. From Development to Use. Washington, DC: National Academy Press, 1992.
30. Kane RL, Lurie N. Appropriate effectiveness: A tale of carts and horses. Qual Rev Bull. 1992;18:322-326.
31. Blumenthal D. Total quality management and physicians' clinical decisions. JAMA. 1993;269:2775-2778.
32. Boult C, Dowd B, McCaffrey D et al. Screening elders for risk of hospital admission. J Am Geriatr Soc 1993;41:811-817.
33. Boult C, Dowd B, McCaffrey D, Boult L. Predictive validity of a questionnaire that identifies elders at risk for hospital admission. J Am Geriatr Soc 1993;41:SA49.
34. Kane RL, Kane RA, Finch M et al. S/HMOs, the second generation: Building on the experience of the first social health maintenance organization demonstrations. J Am Geriatr Soc 1997;45:101-107.
35. Hanchak N. Managed care, accountability, and the physician. Med Clin North Am 1996;80:245-261.