Consumer-directed approaches offer strategies that maximize consumer preferences. Few studies exist, however, of the cost and effectiveness of these approaches with a Medicare population. This paper describes a randomized controlled trial of primary and consumer-directed care being conducted in parts of New York, West Virginia and Ohio with an impaired group of 1,600 Medicare beneficiaries and their caregivers. The theoretical framework for the study is reviewed. Two consumer-directed approaches are described; 1) a self-care, health promotion nurse intervention, and 2) a voucher for in-home services and equipment. Integration with primary care is emphasized. The sample of 1,600 has been recruited. Subject retention issues will be discussed. Preliminary results will be presented. This paper will offer suggestions as to the benefit of a consumer-directed approach in improving health status, quality of life and satisfaction with care for a Medicare population.
Learning Objectives: At the conclusion of the presentation, the participant should be able to demonstrate knowledge of two strategies to empower consumers to take more responsibility for their own health care. The participant should also be able to identify some of the issues involved in conducting research with a frail, community-based Medicare population. The participants should be able to recognize the issues involved integrating a health promotion focus within a primary care practice
Keywords: Frail Elderly, Consumer Direction
Presenting author's disclosure statement:
Organization/institution whose products or services will be discussed: None
I have a significant financial interest/arrangement or affiliation with any organization/institution whose products or services are being discussed in this session.
Relationship: Grant from HCFA