 |
The 130th Annual Meeting of APHA |
|
The 130th Annual Meeting of APHA |
Gerald M. Eggert, PhD, Executive Director, Monroe County Long Term Care Program, Inc./ACCESS, 349 West Commercial Street, Suite 2250, East Rochester, NY 14445, 716-248-8770, gmeggert@aol.com, Brenda Wamsley, MSW, Executive Director, Center for Aging & Healthcare in West Virginia, 517 Market Street, Dils Building, Parkersburg, WV 26101, and Bruce Friedman, PhD, Department of Community and Preventive Medicine, University of Rochester, 601 Elmwood Avenue, Box 644, Rochester, NY 14642.
A Randomized Controlled Trial of Primary and Consumer-Directed Care for People with Chronic Illnesses
Gerald M. Eggert, PhD, Brenda R. Wamsley, MSW, and Bruce Friedman, PhD
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 1,609 Medicare beneficiaries. Three consumer-directed approaches are described: 1) a health promotion nurse intervention, 2) a voucher for in-home services and equipment, and 3) a combination of voucher and health promotion nurse. This study has been completed. Twenty-four month results of cost and use of health and long term care services will be presented, including: 1) hospital care, 2) rehabilitation, 3) nursing home care, and 4) home health care. This study will help policymakers and practitioners determine cost and use patterns associated with a Medicare consumer-directed approach.
Educational Objectives – At the conclusion of the presentation, the participant should be able to demonstrate knowledge of three strategies to empower consumers to take more responsibility for their own health care. The participant should also be able to identify the cost and service use patterns for hospital, rehabilitation, nursing home and home health care for a frail, community-based Medicare population.
Key Words – Frail Elderly; Consumer-Directed Care; Cost of Health and Long Term Care
Learning Objectives:
Keywords: Frail Elderly, Cost Issues
Presenting author's disclosure statement:
I do not have any significant financial interest/arrangement or affiliation with any organization/institution whose products or services are being discussed in this session.