國立虎尾科技大學 |

Enhancing Geriatric Care : = Analyzing the Impact of Onsite Providers on Reducing Emergency Service Dependency in Assisted Living Communities.

紀錄類型:	書目-語言資料,手稿 : Monograph/item
正題名/作者:	Enhancing Geriatric Care :/
其他題名:	Analyzing the Impact of Onsite Providers on Reducing Emergency Service Dependency in Assisted Living Communities.
作者:	Starnes Duch, Lindsey.
面頁冊數:	1 online resource (202 pages)
附註:	Source: Dissertations Abstracts International, Volume: 86-01, Section: B.
Contained By:	Dissertations Abstracts International86-01B.
標題:	Public health. -
電子資源:	click for full text (PQDT)
ISBN:	9798383559888

Enhancing Geriatric Care : = Analyzing the Impact of Onsite Providers on Reducing Emergency Service Dependency in Assisted Living Communities.
Starnes Duch, Lindsey.

Enhancing Geriatric Care :Analyzing the Impact of Onsite Providers on Reducing Emergency Service Dependency in Assisted Living Communities. - 1 online resource (202 pages)

Source: Dissertations Abstracts International, Volume: 86-01, Section: B.

Thesis (D.L.P.)--Northeastern University, 2024.

Includes bibliographical references

Reducing unnecessary emergency department (ED) transfers and hospital admissions is essential for improving care in assisted living facilities, especially given the growing aging population and increasing financial burden on the healthcare system. This study evaluates the impact of onsite physician practices on engagement rates between facility staff and physician practices during triage and their effect on ED transfers and hospital admissions. A quasi-experimental difference-in-differences design compared assisted living facilities with onsite physician practices (treatment group) to those using external primary care providers (control group). The primary outcomes measured were ED transfer rates, hospital admissions, and engagement levels during triage. The study found that onsite physician practices significantly increased engagement between facility staff and physicians during triage. However, this increased engagement did not lead to a significant reduction in ED transfers or hospital admissions. The findings suggest that while onsite physician practices enhance communication and decision-making during triage, they alone are insufficient to reduce unnecessary ED presentations and hospital admissions. One reason for the lack of significant outcomes is the restrictive regulations and reimbursement structures outside Medicare Advantage plans, which limit essential services like palliative and home health care. Future interventions should address clinical variables prompting acute care services, communication barriers, staff fears regarding resident acuity, and access to community services. This study underscores the need to re-evaluate current policies and reimbursement models to integrate onsite physician practices and comprehensive care services in assisted living facilities. Addressing these issues is crucial to managing the increasing demand for post-acute care and reducing the financial burden on the healthcare system, ultimately improving the wellbeing of the elderly population.

Electronic reproduction.
Ann Arbor, Mich. :
ProQuest,
2024

Mode of access: World Wide Web

ISBN: 9798383559888Subjects--Topical Terms:

560998
Public health.
Subjects--Index Terms:

ED transfersIndex Terms--Genre/Form:

554714
Electronic books.

Enhancing Geriatric Care : = Analyzing the Impact of Onsite Providers on Reducing Emergency Service Dependency in Assisted Living Communities.
LDR:03517ntm a22004217 4500 001 1151617
005 20241112095403.5
006 m o d
007 cr mn ---uuuuu
008 250605s2024 xx obm 000 0 eng d
020 $a 9798383559888
035 $a (MiAaPQ)AAI31337110
035 $a AAI31337110
040 $a MiAaPQ $b eng $c MiAaPQ $d NTU
100 1 $a Starnes Duch, Lindsey. $3 1478419
245 1 0 $a Enhancing Geriatric Care : $b Analyzing the Impact of Onsite Providers on Reducing Emergency Service Dependency in Assisted Living Communities.
264 0 $c 2024
300 $a 1 online resource (202 pages)
336 $a text $b txt $2 rdacontent
337 $a computer $b c $2 rdamedia
338 $a online resource $b cr $2 rdacarrier
500 $a Source: Dissertations Abstracts International, Volume: 86-01, Section: B.
500 $a Advisor: Mikhail, Oet.
502 $a Thesis (D.L.P.)--Northeastern University, 2024.
504 $a Includes bibliographical references
520 $a Reducing unnecessary emergency department (ED) transfers and hospital admissions is essential for improving care in assisted living facilities, especially given the growing aging population and increasing financial burden on the healthcare system. This study evaluates the impact of onsite physician practices on engagement rates between facility staff and physician practices during triage and their effect on ED transfers and hospital admissions. A quasi-experimental difference-in-differences design compared assisted living facilities with onsite physician practices (treatment group) to those using external primary care providers (control group). The primary outcomes measured were ED transfer rates, hospital admissions, and engagement levels during triage. The study found that onsite physician practices significantly increased engagement between facility staff and physicians during triage. However, this increased engagement did not lead to a significant reduction in ED transfers or hospital admissions. The findings suggest that while onsite physician practices enhance communication and decision-making during triage, they alone are insufficient to reduce unnecessary ED presentations and hospital admissions. One reason for the lack of significant outcomes is the restrictive regulations and reimbursement structures outside Medicare Advantage plans, which limit essential services like palliative and home health care. Future interventions should address clinical variables prompting acute care services, communication barriers, staff fears regarding resident acuity, and access to community services. This study underscores the need to re-evaluate current policies and reimbursement models to integrate onsite physician practices and comprehensive care services in assisted living facilities. Addressing these issues is crucial to managing the increasing demand for post-acute care and reducing the financial burden on the healthcare system, ultimately improving the wellbeing of the elderly population.
533 $a Electronic reproduction. $b Ann Arbor, Mich. : $c ProQuest, $d 2024
538 $a Mode of access: World Wide Web
650 4 $a Public health. $3 560998
650 4 $a Gerontology. $3 559846
650 4 $a Health sciences. $3 1179212
653 $a ED transfers
653 $a Interventions
653 $a Medicare Advantage plans
653 $a Onsite care
653 $a Post-acute transition
653 $a Hospital admissions
655 7 $a Electronic books. $2 local $3 554714
690 $a 0566
690 $a 0351
690 $a 0573
690 $a 0769
710 2 $a Northeastern University. $b Law and Policy. $3 1467906
710 2 $a ProQuest Information and Learning Co. $3 1178819
773 0 $t Dissertations Abstracts International $g 86-01B.
856 4 0 $u http://pqdd.sinica.edu.tw/twdaoapp/servlet/advanced?query=31337110 $z click for full text (PQDT)