作者
Martha L Sylvia, Efrat Shadmi, Chun-Ju Hsiao, Cynthia M Boyd, Alyson B Schuster, Chad Boult
发表日期
2006/2/1
期刊
Disease Management
卷号
9
期号
1
页码范围
56-62
出版商
Mary Ann Liebert, Inc.
简介
The objective of this study was to describe the clinical features of older persons identified as high risk by a predictive modeling algorithm and to determine their suitability for clinical interventions like case management or disease management. A cross-sectional survey was undertaken at a community-based general internal medicine practice with 826 older patients enrolled in a Medicare-like health plan for military retirees and their dependents. Administrative claims data provided information about all 826 enrollees' chronic conditions, their use of health services, and the cost of those services during the past year. A survey mailed to 150 identified high-risk enrollees provided information about sociodemographic characteristics, general health, bed disability days, restricted activity days, activities of daily living (ADL) limitations, and instrumental activities of daily living (IADL) limitations. Compared to the 676 low-risk …
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