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Research Article Volume 5 Issue 2
Coordination of care: a contemporary care model for the older age group
Renato Veras
Doctor, Titular professor at the Universidade do Estado do Rio de Janeiro and director of the Open University for the Third Age (UnATI/UERJ), Brazil
Received: March 26, 2020 | Published: April 8, 2020
Citation: Veras R. Coordination of care:a contemporary care model for the older age group. MOJ Gerontol Ger. 2020;5(2):50-53. DOI: 10.15406/mojgg.2020.05.00230
Abstract
The care model aimed at the elderly population described in this article is based on the partnership of “the geriatrician doctor and the gerontologist nurse”, both of whom have the responsibility of monitoring the health of a portfolio of clients. The doctor carries out clinical management, while the nurse coordinates care, monitoring the health conditions of users and consolidating the reference role of the model through client intake and strengthening the bond with patients.
In addition to the geriatrician and nurse, the team of gerontologists is composed of a physiotherapist, a psychologist, a social worker, a speech therapist and a nutritionist, who implement group activities, in addition to those carried out by professionals who perform dynamic integrative activities in the social center linked to the program.
Whenever the care needs of users require other levels of treatment, referral is undertaken, but always by the client's doctor (geriatrician, general practitioner or family doctor). To provide high quality support, a telephone contact system, called the GerontoLine, is used, a second medical opinion, carried out by experienced professionals is provided, and an efficient information system is available, with a cell phone app providing information to clients and their families. The doctor and nurse from the team are paid based on performance.
This set of actions provides the client with more qualified and effective care, loyalty to the program, stable functional capacity and lower costs.
Keywords: health policies, human aging, older adults, prevention of diseases, coordination of care, performance-based pay, health parameters, physical dependence, lung cancer, quality information system, health workshops, therapy groups, yoga, ballroom dancing, cognitive stimulation, psychology groups, nutrition, singing, postural guidance, pelvic, muscle strengthening
©2020 Veras. This is an open access article distributed under the terms of the, which permits unrestricted use, distribution, and build upon your work non-commercially.