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The Promoting Effective Advance Care for Elders (PEACE) randomized pilot study: theoretical framework and study design.
- Source :
-
Population health management [Popul Health Manag] 2012 Apr; Vol. 15 (2), pp. 71-7. Date of Electronic Publication: 2011 Nov 16. - Publication Year :
- 2012
-
Abstract
- Practice guidelines are available for hospice and palliative medicine specialists and geriatricians. However, these guidelines do not adequately address the needs of patients who straddle the 2 specialties: homebound chronically ill patients. The purpose of this article is to describe the theoretical basis for the Promoting Effective Advance Care for Elders (PEACE) randomized pilot study. PEACE is an ongoing 2-group randomized pilot study (n=80) to test an in-home interdisciplinary care management intervention that combines palliative care approaches to symptom management, psychosocial and emotional support, and advance care planning with geriatric medicine approaches to optimizing function and addressing polypharmacy. The population comprises new enrollees into PASSPORT, Ohio's community-based, long-term care Medicaid waiver program. All PASSPORT enrollees have geriatric/palliative care crossover needs because they are nursing home eligible. The intervention is based on Wagner's Chronic Care Model and includes comprehensive interdisciplinary care management for these low-income frail elders with chronic illnesses, uses evidence-based protocols, emphasizes patient activation, and integrates with community-based long-term care and other community agencies. Our model, with its standardized, evidence-based medical and psychosocial intervention protocols, will transport easily to other sites that are interested in optimizing outcomes for community-based, chronically ill older adults.<br /> (© Mary Ann Liebert, Inc.)
- Subjects :
- Aged
Aged, 80 and over
Eligibility Determination
Evidence-Based Medicine
Female
Geriatric Assessment
Humans
Male
Medicaid
Ohio
Palliative Care
Pilot Projects
Poverty
Research Design
Social Support
United States
Chronic Disease
Frail Elderly
Health Promotion organization & administration
Home Care Services organization & administration
Homebound Persons
Patient Care Planning organization & administration
Subjects
Details
- Language :
- English
- ISSN :
- 1942-7905
- Volume :
- 15
- Issue :
- 2
- Database :
- MEDLINE
- Journal :
- Population health management
- Publication Type :
- Academic Journal
- Accession number :
- 22088165
- Full Text :
- https://doi.org/10.1089/pop.2011.0004