Report on Models of Care for Older Adults with Multiple Conditions

Posted: March 13, 2011

Looking at four successful models of care for older adults with multiple chronic conditions from 1990-2010.

From the Family Caregiver Alliance National Center on Caregiving Newsletter, November 17, 2010, Vol. X, #21

Four Processes In Successful Models Of Care For Older Adults With Multiple Conditions

The November 3 edition (Vol. 304, Number 17) of the Journal of the American Medical Association includes a study that examines all peer-reviewed studies of comprehensive primary care models for older adults with multiple chronic conditions published between 1999 and 2010.

Based on this review, the authors identify four processes present in most successful models of primary care for this population of adults with four or more chronic conditions.
The processes include:

  • a comprehensive patient assessment,
  • creation and implementation of an evidenced-based plan of care that addresses all of the patient's health-related needs,
  • communication and coordination with all care providers, and
  • promotion of the patient's (and their family caregiver's) engagement in their own health care.

The authors also cite three models that include these processes, including the Geriatric Resources for Assessment and Care of Elders (GRACE) model, Guided Care, and the Program of All-inclusive Care for the Elderly (PACE) model.

To read “Comprehensive Primary Care for Older Patients With Multiple Chronic Conditions: ‘Nobody Rushes You Through’” by Dr. Chad Boult and Dr. Darryl Wieland, in the Journal of the American Medical Association or review the EurekAlert summary of the study.