A mixed methods evaluation of got care! |
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| Institution: | 1. University of Connecticut School of Nursing, 231 Glenbrook Rd, Storrs, CT 06269, United States;2. Middlesex Health, 28 Crescent Street, Middletown, CT 06457, United States;3. UConn Center on Aging, UConn Health, 263 Farmington Avenue, Farmington, CT 06030-5215, United States;1. Department of Health Sciences, Faculty of Medical Sciences, Kyushu University, 3-1-1, Maidashi, Fukuoka Japan;2. Konan Women''s University, School of Nursing and Rehabilitation, 6-2-23, Morikita-machi, Higashinada-ku, Kobe, Hyogo, Japan.;3. Clinic of Tsuruta Orthopedic Surgery, 1241-6 Katsu Ushizumachi, Saga, Japan;4. Division of Nursing, Saga University, 5-1-1 Nabeshima Saga, Japan;5. Orthopaedic Surgery, Saga University, 5-1-1 Nabeshima Saga, Japan;1. Department of Neurobiology, Neurology and Geriatrics, Xuanwu Hospital of Capital Medical University, Beijing Institute of Geriatrics, No. 45 Changchun Street, Beijing 100053, China;2. National Clinical Research Center for Geriatric Disorders, Beijing, China;3. Key Laboratory for Neurodegenerative Disease of the Ministry of Education, Beijing Key Laboratory for Parkinson''s Disease, Parkinson Disease Center of Beijing Institute for Brain Disorders, Beijing, China;4. Clinical Center for Parkinson''s Disease, Capital Medical University, Beijing, China;5. Advanced Innovation Center for Human Brain Protection, Capital Medical University, Beijing, China;1. Duquesne University, Pittsburgh, PA 15282, USA;2. University of Illinois at Chicago, Chicago, IL, USA;1. The Cecil G. Sheps Center for Health Services Research, University of North Carolina at Chapel Hill;2. School of Social Work, University of North Carolina at Chapel Hill;3. Gillings School of Global Public Health, University of North Carolina at Chapel Hill;4. Department of Family Medicine, School of Medicine, University of North Carolina at Chapel Hill;1. Magellan Rx Management/PACE, 4000 Crums Mill Road, Suite 301, Harrisburg, PA 17112, USA;2. Pennsylvania Department of Aging, 555 Walnut Street, Forum Place 5th Floor, Harrisburg, PA 17101, USA |
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| Abstract: | This study aimed to assess the relationship between an Interprofessional Collaborative Practice (IPCP) intervention for community-dwelling older adults, Geriatric Outreach and Training with Care! (GOT Care!), and the observed 26% reduction in Emergency Department (ED) visits for the 51 older adult participants. A convergent parallel mixed-methods design was utilized. Demographic data and ED visit data were collected and analyzed using paired-samples t-tests, poisson regression and generalized poisson regression. Stakeholder perspectives were assessed via emailed open-ended surveys and analyzed using content analysis. The quantitative results were transformed into trends that were compared and contrasted with the qualitative themes. The results were consistent with the current literature that IPCP models may have a greater impact on older adults with certain demographic characteristics such as polypharmacy, diabetes and prior ED use, while nursing was identified as an ideal leader for IPCP teams. |
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