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A generalist physician-based model for a rural geriatric collaborative practice

P Shelton, C Schraeder, T Britt

    Journal of Case Management
    |January 1, 1994
    PubMed
    Summary

    This study presents a geriatric collaborative practice model for rural elderly patients, highlighting the roles of primary care physicians and nurse case managers in a multidisciplinary team. It details client characteristics and the benefits of this integrated care approach.

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    Area of Science:

    • Geriatric Medicine
    • Healthcare Management
    • Rural Health

    Background:

    • Elderly populations face unique healthcare challenges, particularly in rural areas.
    • Effective care coordination is crucial for managing complex geriatric needs.
    • Existing primary care models may not fully address the multifaceted requirements of older adults.

    Purpose of the Study:

    • To describe a geriatric collaborative practice model tailored for rural elderly patients.
    • To outline the roles of primary care physicians and nurse case managers within this model.
    • To identify the strengths and benefits of this multidisciplinary approach.

    Main Methods:

    • Implementation of a collaborative practice model involving primary care physicians (family practice, internal medicine) and nurse case managers.

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  • Focus on serving elderly patients in a specific rural region (east central Illinois).
  • Analysis of client characteristics and nursing case management functions.

    • Main Results:

    • The collaborative model integrates physicians and nurse case managers into a cohesive multidisciplinary team.
    • Key client characteristics of the rural elderly population were identified.
    • Specific nursing case management roles were defined within the team structure.

    Conclusions:

    • The geriatric collaborative practice model offers significant strengths and benefits for rural elderly care.
    • Effective multidisciplinary teamwork, including nurse case managers, enhances geriatric patient outcomes.
    • This model provides a framework for improving primary care delivery to underserved elderly populations.