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Implementation and review of the care ecosystem in an integrated healthcare system
BACKGROUND AND OBJECTIVES: The University of California, San Francisco Memory and Aging Center (UCSF-MAC) led the development and tested a collaborative care model delivered by lay care team navigators (CTNs) with support from a multidisciplinary team known as the Care Ecosystem (CE). We evaluated o...
Autores principales: | , , , , , , , , , , |
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Formato: | Online Artículo Texto |
Lenguaje: | English |
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BioMed Central
2023
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Materias: | |
Acceso en línea: | https://www.ncbi.nlm.nih.gov/pmc/articles/PMC10464398/ https://www.ncbi.nlm.nih.gov/pubmed/37620780 http://dx.doi.org/10.1186/s12877-023-04146-z |
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author | Rosenbloom, Michael H. Kashyap, Bhavani Diaz-Ochoa, Ana Karrmann, Jan Svitak, Aleta Finstad, Jennifer Brombach, Ann Sprandel, Ann Hanson, Leah Dulaney, Sarah Possin, Katherine |
author_facet | Rosenbloom, Michael H. Kashyap, Bhavani Diaz-Ochoa, Ana Karrmann, Jan Svitak, Aleta Finstad, Jennifer Brombach, Ann Sprandel, Ann Hanson, Leah Dulaney, Sarah Possin, Katherine |
author_sort | Rosenbloom, Michael H. |
collection | PubMed |
description | BACKGROUND AND OBJECTIVES: The University of California, San Francisco Memory and Aging Center (UCSF-MAC) led the development and tested a collaborative care model delivered by lay care team navigators (CTNs) with support from a multidisciplinary team known as the Care Ecosystem (CE). We evaluated outcomes related to the feasibility of the CE in a non-academic healthcare system, including acceptability, adoption, and fidelity to the original UCSF model. RESEARCH DESIGN AND METHODS: The CE team at HealthPartners consisted of two CTNs, a social worker, an RN, a program coordinator, and a behavioral neurologist. Intake forms were developed to collect demographic, baseline, and annual data at one year related to dementia severity and caregiver status. Experience surveys were completed at 6 and 12 months by participating caregivers. All data was entered into REDCap. RESULTS: A total of 570 PWD-caregiver dyads were recruited into the CE: 53% PWDs female, average age 75.2 ± 9.43, 19% living within rural communities. Of the 173 dyads assessed at one year, 30% responded to the annual intake forms and 58% of responded to experience surveys. At one year, PWDs progressed in disease severity and functional impairment, although caregiver burden and mood remained unchanged. We observed a significant reduction in caregiver reported emotional challenges associated with caregiving, sleep problems, and obtaining caregiver help at one year. 86% of caregivers reported feeling supported by their CTN nearly always or quite frequently, and 88% rated the CTN as highly responsive to what was important to them. DISCUSSION AND IMPLICATIONS: The CE was feasible and well-received within a non-academic healthcare system. |
format | Online Article Text |
id | pubmed-10464398 |
institution | National Center for Biotechnology Information |
language | English |
publishDate | 2023 |
publisher | BioMed Central |
record_format | MEDLINE/PubMed |
spelling | pubmed-104643982023-08-30 Implementation and review of the care ecosystem in an integrated healthcare system Rosenbloom, Michael H. Kashyap, Bhavani Diaz-Ochoa, Ana Karrmann, Jan Svitak, Aleta Finstad, Jennifer Brombach, Ann Sprandel, Ann Hanson, Leah Dulaney, Sarah Possin, Katherine BMC Geriatr Research BACKGROUND AND OBJECTIVES: The University of California, San Francisco Memory and Aging Center (UCSF-MAC) led the development and tested a collaborative care model delivered by lay care team navigators (CTNs) with support from a multidisciplinary team known as the Care Ecosystem (CE). We evaluated outcomes related to the feasibility of the CE in a non-academic healthcare system, including acceptability, adoption, and fidelity to the original UCSF model. RESEARCH DESIGN AND METHODS: The CE team at HealthPartners consisted of two CTNs, a social worker, an RN, a program coordinator, and a behavioral neurologist. Intake forms were developed to collect demographic, baseline, and annual data at one year related to dementia severity and caregiver status. Experience surveys were completed at 6 and 12 months by participating caregivers. All data was entered into REDCap. RESULTS: A total of 570 PWD-caregiver dyads were recruited into the CE: 53% PWDs female, average age 75.2 ± 9.43, 19% living within rural communities. Of the 173 dyads assessed at one year, 30% responded to the annual intake forms and 58% of responded to experience surveys. At one year, PWDs progressed in disease severity and functional impairment, although caregiver burden and mood remained unchanged. We observed a significant reduction in caregiver reported emotional challenges associated with caregiving, sleep problems, and obtaining caregiver help at one year. 86% of caregivers reported feeling supported by their CTN nearly always or quite frequently, and 88% rated the CTN as highly responsive to what was important to them. DISCUSSION AND IMPLICATIONS: The CE was feasible and well-received within a non-academic healthcare system. BioMed Central 2023-08-24 /pmc/articles/PMC10464398/ /pubmed/37620780 http://dx.doi.org/10.1186/s12877-023-04146-z Text en © The Author(s) 2023 https://creativecommons.org/licenses/by/4.0/Open Access This article is licensed under a Creative Commons Attribution 4.0 International License, which permits use, sharing, adaptation, distribution and reproduction in any medium or format, as long as you give appropriate credit to the original author(s) and the source, provide a link to the Creative Commons licence, and indicate if changes were made. The images or other third party material in this article are included in the article’s Creative Commons licence, unless indicated otherwise in a credit line to the material. If material is not included in the article’s Creative Commons licence and your intended use is not permitted by statutory regulation or exceeds the permitted use, you will need to obtain permission directly from the copyright holder. To view a copy of this licence, visit http://creativecommons.org/licenses/by/4.0/ (https://creativecommons.org/licenses/by/4.0/) . The Creative Commons Public Domain Dedication waiver (http://creativecommons.org/publicdomain/zero/1.0/ (https://creativecommons.org/publicdomain/zero/1.0/) ) applies to the data made available in this article, unless otherwise stated in a credit line to the data. |
spellingShingle | Research Rosenbloom, Michael H. Kashyap, Bhavani Diaz-Ochoa, Ana Karrmann, Jan Svitak, Aleta Finstad, Jennifer Brombach, Ann Sprandel, Ann Hanson, Leah Dulaney, Sarah Possin, Katherine Implementation and review of the care ecosystem in an integrated healthcare system |
title | Implementation and review of the care ecosystem in an integrated healthcare system |
title_full | Implementation and review of the care ecosystem in an integrated healthcare system |
title_fullStr | Implementation and review of the care ecosystem in an integrated healthcare system |
title_full_unstemmed | Implementation and review of the care ecosystem in an integrated healthcare system |
title_short | Implementation and review of the care ecosystem in an integrated healthcare system |
title_sort | implementation and review of the care ecosystem in an integrated healthcare system |
topic | Research |
url | https://www.ncbi.nlm.nih.gov/pmc/articles/PMC10464398/ https://www.ncbi.nlm.nih.gov/pubmed/37620780 http://dx.doi.org/10.1186/s12877-023-04146-z |
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