Health Care Merged With Senior Housing: Description and Evaluation of a Successful Program:

Gerontology & Geriatric Medicine

Theresa “Teta” Barry¹ 

关键词: senior housing;    geriatric health care;    care coordination;   

DOI  :  10.1177/2333721417713096

学科分类：医学（综合）

来源: Sage Journals

【 摘 要 】

Objective: This article describes and evaluates a successful partnership between a large health care organization and housing for seniors. The program provides on-site, primary care visits by a physician and a nurse in addition to intensive social services to residents in an affordable senior housing apartment building located in Pennsylvania. Per Donabedian’s “Structure–Process–Outcome” model, the program demonstrated positive health care outcomes for its participants via a prescribed structure. To provide guidance for replication in similar settings, we qualitatively evaluated the processes by which successful outcomes were obtained. Methods: With program structures in place and outcomes measured, this case study collected and analyzed qualitative information taken from key informant interviews on care processes involved in the program. Themes were extracted from semistructured interviews and used to describe the processes that helped and hindered the program. Results and Discussion: Common processes were identified across respondents; however, the nuanced processes that lead to successful outcomes suggest that defined structures and processes may not be sufficient to produce similar outcomes in other settings. Further research is needed to determine the program’s replicability and policy implications.

【 授权许可】

CC BY-NC