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Ambulatory Behavioral Health Referral Patterns in the Setting of Chronic Medical Conditions [Behavioral, psychosocial, and mental illness]

Annals of Family Medicine

Setting or Dataset: Patients 18 years or older with a BH referral with or without at least 1 chronic condition referred from any of 4 PC sites with integrated BH in the UCHealth System from January 2020 through present. 88% (n= 11,483) of BH referrals were created for the management of a mental health condition.

Referral 130
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Predictors of Poor Health Outcomes in Midlife and Older Adults with Diabetes in the 2018-2020 Health and Retirement Study [Multimorbidity]

Annals of Family Medicine

Diabetes co-occurs with other chronic conditions (CC), functional limitations (FL), and geriatric syndromes (GS). We conducted Classification and Regression Tree (CART) analysis to identify the specific combinations of CC, FL, and GS conditions and sociodemographic characteristics that predict each outcome overall, and by age and race.

Diabetes 130
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Nurse Practitioners Critical in Treating Older Adults as Ranks of Geriatricians Shrink

Physician's Weekly

While the AMA says physician-led teams keep costs lower, a study published in 2020 in Health Services Research found similar patient outcomes and lower costs for nurse practitioner patients.

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RCT of Palliative Care for Heart Failure and Lung Disease: David Bekelman and Lyndsay DeGroot

GeriPal

Summary Transcript Summary In a JAMA 2020 systematic review of palliative care for non-cancer serious illness, Kieran Quinn found many positives, as we discussed on our podcast and in our editorial. He also found gaps, including very few studies of patients with lung disease, and little impact of trials on quality of life.

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Black/African American Caregivers of Older Adults Living with Dementia: Fayron Epps and Karen Moss

GeriPal

I think that’s something we’ve seen even with the most recent issues that came out, not new issues, but came to the surface with the racial reckoning that we saw in 2020 related to murders and deaths and killings and that sort of stuff that helps to reshape how we refer to different groups of individuals in our community.

Community 129
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How State and Local Agencies on Aging Help Older Adults: Susan DeMarois, Greg Olsen, and Lindsey Yourman

GeriPal

Utilizers costs about $400 billion a year to serve, have two chronic conditions and two limitations in some functional capacity, need help bathing, dressing, personal care, going to the bathroom, that type of thing. I want to know where should I find out about the resources that I have available to my older adults?

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Guiding an Improved Dementia Experience (GUIDE) Model: A Podcast with Malaz Boustani and Diane Ty

GeriPal

Don’t get me wrong, the evidence points to cost savings, but as Chris Callahan and Kathleen Unroe pointed out in a JAGS editorial in 2020 “in comprehensive dementia care models, savings may accrue to Medicare, but the expenses accrue to a fluid and unstable network of local service providers, patients, and their families.” Diane: Fantastic.