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Acupoint Application as a Traditional Chinese Medicine Treatment for Fatigue Associated with Chronic Obstructive Pulmonary Disease

Acupoint Application as a Traditional Chinese Medicine Treatment for Fatigue Associated with Chronic Obstructive Pulmonary Disease

Published on: September 5, 2025

Managing Chronic Illness.

Mark Toles¹, Helene Moriarty², Ken Coburn³

¹1 University of North Carolina at Chapel Hill, USA.

Journal of Applied Gerontology : the Official Journal of the Southern Gerontological Society

|September 3, 2015

Summary

This summary is machine-generated.

Engaging older adults in care coordination programs is key. In-person nursing contact and consistent care providers reduce voluntary disenrollment, improving health outcomes for chronically ill seniors.

Keywords:

care coordination nursing contact participant enrollment

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Acupoint Application as a Traditional Chinese Medicine Treatment for Fatigue Associated with Chronic Obstructive Pulmonary Disease

Acupoint Application as a Traditional Chinese Medicine Treatment for Fatigue Associated with Chronic Obstructive Pulmonary Disease

Published on: September 5, 2025

Area of Science:

Gerontology
Health Services Research
Nursing

Background:

Care coordination models can improve health outcomes for older adults with chronic illnesses.
Participant engagement is crucial for the success of these programs.
Understanding factors influencing voluntary disenrollment is important for program sustainability.

Purpose of the Study:

To examine the impact of nursing contact on voluntary disenrollment rates from a care coordination program.
To identify specific characteristics of nursing contact associated with participant retention.

Main Methods:

Retrospective cohort study utilizing administrative data.
Analysis of 1,524 participants in the Health Quality Partners Medicare Care Coordination Demonstration Program.
Statistical analysis including Hazard Ratios (HR) and confidence intervals (CI) to assess risk factors.

Main Results:

The overall voluntary disenrollment rate was approximately 11%.
A higher proportion of in-person nursing contact was associated with a significantly lower risk of voluntary disenrollment (HR 0.137).
Lower continuity of nursing care was associated with a significantly higher risk of voluntary disenrollment (HR 1.964).

Conclusions:

In-person nursing contact appears to be a critical factor in retaining participants in care coordination programs.
Maintaining continuity of nursing care is essential for reducing voluntary disenrollment among chronically ill older adults.
These findings suggest strategies to enhance program engagement and improve health outcomes for this population.