Feasibility of aging in place clinics in low income senior housing

IF 2.5 3区 医学 Q3 GERIATRICS & GERONTOLOGY Geriatric Nursing Pub Date : 2024-08-01 DOI:10.1016/j.gerinurse.2024.07.026
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Abstract

The purpose of this study was to describe the feasibility of implementing interdisciplinary senior housing clinics. Feasibility was based on evidence of resident participation, services provided, improvement in clinical outcomes and sustaining clinics over time. Data were collected prospectively in four senior housing communities which included approximately 375 residents 60 years of age and older. Over the 12-month implementation period, 228 residents were seen, 61 % of all residents. We gave 131 immunizations, checked 576 blood pressures, completed 92 foot care treatments, 69 hearing evaluations and cerumen removal, completed 16 advance directives, 119 Annual Wellness Visits, and 13 assessments for acute medical problems. Overall, 87 individuals (38 %) had a decrease in their blood pressures, 121 (54 %) maintained their pressures and 19 (8 %) had increases in blood pressures. We reached over half of the residents living in these communities and estimated we could financially maintain the clinics with reimbursement based on billing.

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在低收入老年公寓开设居家养老诊所的可行性。
本研究的目的是描述实施跨学科老年住宅诊所的可行性。可行性基于居民的参与度、提供的服务、临床结果的改善以及诊所的长期持续性等方面的证据。我们在四个老年住宅社区收集了前瞻性数据,这些社区包括约 375 名 60 岁及以上的居民。在为期 12 个月的实施期间,共有 228 名居民就诊,占所有居民的 61%。我们为他们进行了 131 次免疫接种、576 次血压检查、92 次足部护理、69 次听力评估和耵聍清除、16 次预先指示、119 次年度健康检查以及 13 次急性医疗问题评估。总体而言,87 人(38%)的血压有所下降,121 人(54%)的血压保持不变,19 人(8%)的血压有所上升。我们为居住在这些社区的一半以上居民提供了服务,并根据账单报销情况估计我们可以在经济上维持诊所的运营。
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来源期刊
Geriatric Nursing
Geriatric Nursing 医学-护理
CiteScore
3.80
自引率
7.40%
发文量
257
审稿时长
>12 weeks
期刊介绍: Geriatric Nursing is a comprehensive source for clinical information and management advice relating to the care of older adults. The journal''s peer-reviewed articles report the latest developments in the management of acute and chronic disorders and provide practical advice on care of older adults across the long term continuum. Geriatric Nursing addresses current issues related to drugs, advance directives, staff development and management, legal issues, client and caregiver education, infection control, and other topics. The journal is written specifically for nurses and nurse practitioners who work with older adults in any care setting.
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