Diagnosis and Disruption: Population-Level Analysis Identifying Points of Care at Which Transitions Are Highest for People with Dementia and Factors That Contribute to Them

Journal of the American Geriatrics Society

Volumn 64, Issue 3, 2016, Pages 569-577

  Sivananthan, Saskia N ^a   McGrail, Kimberlyn M ^a  

^a UNIVERSITY OF BRITISH COLUMBIA   (Canada)

Author keywords

continuity; dementia; elderly; end of life; guidelines; multi morbidity; population level; primary care; transitions

Indexed keywords

AGED; ARTICLE; CANADA; COHORT ANALYSIS; DEMENTIA; FEMALE; HEALTH CARE FACILITY; HOSPITAL INFORMATION SYSTEM; HOSPITALIZATION; HUMAN; LONG TERM CARE; LONGITUDINAL STUDY; MAJOR CLINICAL STUDY; MALE; PERSONAL EXPERIENCE; POINT OF CARE TESTING; PRIMARY MEDICAL CARE; RETROSPECTIVE STUDY; SURVIVAL TIME; TRANSITIONAL CARE; BRITISH COLUMBIA; HEALTH CARE QUALITY; MORTALITY; PATIENT TRANSPORT; PRIMARY HEALTH CARE; STANDARDS; STATISTICS AND NUMERICAL DATA; TERMINAL CARE; TIME FACTOR; VERY ELDERLY;

AGED; AGED, 80 AND OVER; BRITISH COLUMBIA; DEMENTIA; FEMALE; HOSPITALIZATION; HUMANS; LONG-TERM CARE; MALE; PATIENT TRANSFER; PRIMARY HEALTH CARE; QUALITY OF HEALTH CARE; RETROSPECTIVE STUDIES; TERMINAL CARE; TIME FACTORS;

EID: 84961774585     PISSN: 00028614     EISSN: 15325415     Source Type: Journal    
DOI: 10.1111/jgs.14033     Document Type: Article

References (47)

1. Ferri CP, Prince M, Brayne C, et al., Global prevalence of dementia: A Delphi consensus study. Lancet 2005; 366: 2112-2117.
2. Hogan DB, Bailey P, Black S, et al., Diagnosis and treatment of dementia: 4. Approach to management of mild to moderate dementia. Can Med Assoc J 2008; 179: 787-793.
3. Work Group on Alzheimer's Disease and Other Dementias. Practice Guidelines for the Treatment of Patients With Alzheimer's Disease and Other Dementias. Arlington, VA: American Psychiatric Association, 2010.
4. Naylor MD, Kurtzman ET, Pauly MV,. Transitions of elders between long-term care and hospitals. Policy Polit Nurs Pract 2009; 10: 187-194.
5. Coleman EA, Parry C, Chalmers S, et al., The care transitions intervention: Results of a randomized controlled trial. JAMA Intern Med 2006; 166: 1822-1828.
6. Aaltonen M, Rissanen P, Forma L, et al., The impact of dementia on care transitions during the last two years of life. Age Ageing 2012; 41: 52-57.
7. Coleman EA, Min S, Chomiak A, et al., Posthospital care transitions: Patterns, complications, and risk identification. Health Serv Res 2004; 39: 1449-1466.
8. Forster AJ, Murff HJ, Peterson JF, et al., Adverse drug events occurring following hospital discharge. J Gen Intern Med 2005; 20: 317-323.
9. Aneshensel CS, Pearlin LI, Levy-Storms L, et al., The transition from home to nursing home mortality among people with dementia. J Gerontol B Psychol Sci Soc Sci 2000; 55B: S152-S162.
10. King BJ, Gilmore-Bykovskyi AL, Roiland R, et al., The consequences of poor communication during transitions from hospital to skilled nursing facility: A qualitative study. J Am Geriatr Soc 2013; 61: 1095-1102.
11. Cohen CA, Pushkar D,. Transitions in care. Lessons learned from a longitudinal study of dementia care. Am J Geriatr Psychiatry 1999; 7: 139-146.
12. Wolff JL, Boyd CM, Gitlin LN, et al., Going it together: Persistence of older adults' accompaniment to physician visits by a family companion. J Am Geriatr Soc 2012; 60: 106-112.
13. Boise L, Neal MB, Kaye J,. Dementia assessment in primary care: Results from a study in three managed care systems. J Gerontol A Biol Sci Med Sci 2004; 59A: M621-M626.
14. Intrator O, Grabowski DC, Zinn J, et al., Hospitalization of nursing home residents: The effects of states' Medicaid payment and bed-hold policies. Health Serv Res 2007; 42: 1651-1671.
15. Callahan CM, Arling G, Tu W, et al., Transitions in care for older adults with and without dementia. J Am Geriatr Soc 2012; 60: 813-820.
16. Vickrey BG, Mittman BS, Connor KI, et al., The effect of a disease management intervention on quality and outcomes of dementia care: A randomized, controlled trial. Ann Intern Med 2006; 145: 713-726.
17. Mead LC, Eckert JK, Zimmerman S, et al., Sociocultural aspects of transitions from assisted living for residents with dementia. Gerontologist 2005; 45 Spec No (1): 115-123.
18. Blumenthal D, Mort E, Edwards J,. The efficacy of primary care for vulnerable population groups. Health Serv Res 1995; 30 (1 Pt 2): 253-273.
19. Spenceley SM, Sedgwick N, Keenan J,. Dementia care in the context of primary care reform: An integrative review. Aging Ment Health 2015; 19: 107-120.
20. Starfield B,. Primary Care: Balancing Health Needs, Services, and Technology. New York: Oxford Printing Press, 1998.
21. Nyweide DJ, Anthony DL, Bynum JPW, et al., Continuity of care and the risk of preventable hospitalization in older adults. JAMA Intern Med 2013; 173: 1879-1885.
22. Worrall G, Knight J,. Continuity of care for older patients in family practice: How important is it? Can Fam Physician 2006; 52: 754-755.
23. Sawyer E,. Guarding Canada's Health System: The History of the Canadian Healthcare Association, 1931 to 2006. Ottawa, ON: CHA Press, 2006.
24. Pencarrick Hertzman C, Meagher N, McGrail KM,. Privacy by design at population data BC: A case study describing the technical, administrative, and physical controls for privacy-sensitive secondary use of personal information for research in the public interest. J Am Med Inform Assoc 2013; 20: 25-28.
25. Broemeling A, Watson D,. Chronic Conditions and Co-Morbidity Among Residents of British Columbia. Vancouver, BC: UBC Centre for Health Services & Policy Research, 2005.
26. Maneno MK, Lee E, Wutoh AK, et al., National patterns of dementia treatment among elderly ambulatory patients. J Natl Med Assoc 2006; 98: 430-435.
27. Bynum JP, Rabins P, Weller W, et al., The relationship between a dementia diagnosis, chronic illness, medicare expenditures, and hospital use. J Am Geriatr Soc 2004; 52: 187-194.
28. Reid RJ, MacWilliam L, Verhulst L, et al., Performance of the ACG case-mix system in two Canadian provinces. Med Care 2001; 39: 86-99.
29. Sivananthan SN, Puyat JH, McGrail KM,. Variations in self-reported practice among physicians providing clinical care to individuals with dementia: A systematic review. J Am Geriatr Soc 2013; 61: 1277-1285.
30. Chertkow H, Massoud F, Nasreddine Z, et al., Diagnosis and treatment of dementia: Introducing a series based on the third Canadian consensus conference on the diagnosis and treatment of dementia. Can Med Assoc J 2008; 178: 6-11.
31. BC Ministry of Health. Cognitive Impairment in the Elderly-Recognition, Diagnosis and Management. Vancouver, BC: BC Ministry of Health, 2008.
32. Roos NP, Carriere K, Friesen D,. Factors influencing the frequency of visits by hypertensive patients to primary care physicians in Winnipeg. Can Med Assoc J 1998; 159: 777-783.
33. Teno JM, Gozalo PL, Bynum JPW, et al., Changes in end-of-life care for Medicare Beneficiaries: Site of death, place of care, and health care transitions in 2000, 2005, and 2009. JAMA 2013; 309: 470-477.
34. Asche CV, Singer ME, Jhaveri M, et al., All-cause health care utilization and costs associated with newly diagnosed multiple sclerosis in the United States. J Manag Care Pharm 2010; 16: 703-712.
35. Marrie RA, Yu N, Wei Y, et al., High rates of physician services utilization at least five years before multiple sclerosis diagnosis. Mult Scler 2013; 19: 1113-1119.
36. Hobson DE, Lix LM, Azimaee M, et al., Healthcare utilization in patients with Parkinson's disease: A population-based analysis. Parkinsonism Relat Disord 2012; 18: 930-935.
37. Coleman EA, Boult C,. Falling through the cracks: Challenges and opportunities for improving transitional care for persons with continuous complex care needs. J Am Geriatr Soc 2003; 51: 549-555.
38. Naylor MD,. Transitional care of older adults. Annu Rev Nurs Res 2003; 20: 127-147.
39. Moore C, Wisnivesky J, Williams S, et al., Medical errors related to discontinuity of care from an inpatient to an outpatient setting. J Gen Intern Med 2003; 18: 646-651.
40. Kane RL, Ouslander JG,. Dementia as a moving target. J Am Geriatr Soc 2012; 60: 980-982.
41. Boustani M, Schubert C, Sennour Y,. The challenge of supporting care for dementia in primary care. Clin Interv Aging 2007; 2: 631-636.
42. Callahan CM, Unverzagt FW, Austrom MG, et al., Effectiveness of collaborative care for older adults with Alzheimer disease in primary care: A randomized controlled trial. J Am Med Assoc 2006; 295: 2148-2157.
43. Kodner DL,. The quest for integrated systems of care for frail older persons. Aging Clin Exp Res 2002; 14: 307-313.
44. Horttana BM, Ahlström G, Fahlström G,. Patterns of and reasons for relocation in dementia care. Geriatr Nurs (Minneap) 2002; 28: 193-200.
45. Molloy DW, Guyatt GH, Russo R, et al., Systematic implementation of an advance directive program in nursing homes: A randomized controlled trial. JAMA 2000; 283: 1437-1444.
46. Dohan D, Schrag D,. Using navigators to improve care of underserved patients: Current practices and approaches. Cancer 2005; 104: 848-855.
47. Cohen-Mansfield J,. Nonpharmacologic treatment of behavioral disorders in dementia. Curr Treat Options Neurol 2013; 15: 765-785.