Back to Search
Start Over
Health care model for people living in nursing homes based on integrated care.
- Source :
- Journal of Integrated Care; 2024, Vol. 32 Issue 1, p18-30, 13p
- Publication Year :
- 2024
-
Abstract
- Purpose: Older people living in nursing homes have complex care needs and frequently need specialists' advice and support that can be challenging to deliver in a rural setting. The aim of this paper is to describe a model of integrated care in a rural area supported by a nurse case manager. Design/methodology/approach: A real-world evidence study of people living in Ribes de Freser nursing home, was conducted between specific timeframes in 2019 and 2022, comparing the casemix and outcomes of a traditional care model with the integrated interdisciplinary model. Findings: The integrated care model led to a significant reduction in transfers to the emergency department, hospitalisations, outpatient medical visits and a reduction in the number of medicines. In addition, the number of residents receiving end-of-life care at the nursing home showed a substantial increase. Originality/value: This case study contributes valuable evidence supporting the implementation of an integrated model of nurse case manager support in nursing homes, particularly in the rural contexts, where access to specialist medical staff may be limited. The findings highlight the potential benefits of person-centred integrated care for older adults, addressing their complex needs and improving end-of-life care in nursing home settings. [ABSTRACT FROM AUTHOR]
- Subjects :
- HOSPITAL emergency services
FRAIL elderly
RURAL conditions
TIME
CRITICALLY ill
MATHEMATICAL models
TASK performance
PATIENTS
PATIENT-centered care
MEDICATION error prevention
HEALTH outcome assessment
NURSING care facilities
MEDICAL care use
NURSES
HEALTH care teams
HOSPITAL care
THEORY
INTEGRATED health care delivery
MEDICAL case management
PATIENT care
NEEDS assessment
MEDICAL appointments
ELDER care
MEDICAL specialties & specialists
OLD age
Subjects
Details
- Language :
- English
- ISSN :
- 14769018
- Volume :
- 32
- Issue :
- 1
- Database :
- Complementary Index
- Journal :
- Journal of Integrated Care
- Publication Type :
- Academic Journal
- Accession number :
- 175168280
- Full Text :
- https://doi.org/10.1108/JICA-07-2023-0059