ArticleWiener klinische Wochenschrift2019
Pilot study of an integrated care model using the geriatric assessment tool.
Article in Wiener klinische Wochenschrift, 2019. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 3 papers.
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Who cites it
3 citing papers in PubMed.
- Predicting future medical needs and mortality risk in geriatric long-term care patients : Development and validation of the Nascher score and revised Nascher score.Wiener klinische Wochenschrift · 2024Article
- Management of Non-Communicable Diseases in Kosovo: A Scoping Review.International journal of environmental research and public health · 2023Article
- Implementation of patient-centered physical training for older people accessing routine health care.Wiener klinische Wochenschrift · 2019Article
Corrections and comments
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Authors and funding
5 authors.
Funding
No grant is acknowledged in the PubMed record.
Abstract
backgroundOlder people with type 2 diabetes mellitus often suffer from adverse medical and social conditions which are often unrecognized in routine care. Integrated care aims to address all these aspects and centers on the needs of the patient and not the disease. The Accessible Quality Healthcare project in Kosovo, is piloting an integrated care model for patients 65 years and over with type 2 diabetes mellitus, which also introduces comprehensive geriatric assessment and care planning.
methodsIn this study two groups (1) a central working group and (2) a multisectoral implementation group of health and social care professionals were established to develop a geriatric assessment form and an individual care plan form for this project.
resultsThe groups decided to address the following problems in the geriatric assessment: activities of daily living, urinary incontinence, gait, balance, falls, depression, cognitive function, and frailty. The assessment is carried out by a nurse and a social worker in the living environment of the patient, and the individual care plan is drawn up jointly by a doctor, a nurse, and a social worker and includes (1) problems of the patient, (2) specific goals for each problem and (3) activities to reach the goals.
conclusionThis intervention is one of the first in the health system in Kosovo to implement integrated care in a very vulnerable population. Physical training will be an important tool to tackle many problems detected through the geriatric assessment and which are also associated with type 2 diabetes mellitus.
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