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Community-Based Integrated Care for Older Adults

A Practical Guide

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  • © 2022

Overview

  • An authoritative guide to all-inclusive, community-based, interdisciplinary medical care for aging patients
  • Highlights the Program for All-Inclusive Care of the Elderly (PACE) model
  • An excellent resource for geriatricians, nurses and all clinical staff working in these environments

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About this book

Community-based integrated care (CBIC) is designed to keep older adults where they want to be – at home and out of hospitals and nursing homes. The Program of All-Inclusive Care for the Elderly (PACE) is an example of successful CBIC, established in 1985 as an innovative solution to pervasive issue: how to provide integrated care to a high-risk population of older adults that promotes community living (not a nursing home) in a cost-effective manner.

This unique guide provides readers with a concise yet informative base of understanding of PACE as well as a “deep dive” into the components and job roles that will serve as a reference for existing PACE providers and will inform those who are considering the possibility of developing a new PACE program. Chapters are organized into five thematic sections. Part one presents both domestic and international perspectives on CBIC, with part two delving deeper into the US PACE model, including its history, policy evolution and effectiveness. Specifics regarding the organization and management of PACE and the essential roles and positions comprise parts three and four, respectively, from leadership and the involvement of the state to the roles of the social worker, nurse, nutritionist, rehabilitation specialist, and more. Care planning, coordination and end of life care round out part five. 

In addition to geriatricians and other clinical practitioners involved with the care of older patients, Community-Based Integrated Care for Older Adults is also a resource for scholars, policy makers and the general public who are interested in innovations in long-term care that provide older adults with alternatives to nursing homes.

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Table of contents (23 chapters)

  1. Community-Based Integrated Care

  2. The U.S. Prototype: Program of All-Inclusive Care for the Elderly (PACE)

  3. The Organization and Management of PACE

  4. The PACE Team and Essential Roles

Editors and Affiliations

  • Hopkins ElderPlus, Johns Hopkins University, Baltimore, USA

    Matthew K. McNabney

About the editor

Matthew K. McNabney, MD, Medical Director, Program for All-Inclusive Care of the Elderly (PACE), Professor of Medicine, Division of Geriatric Medicine and Gerontology, Johns Hopkins University School of Medicine, Baltimore, MD, USA

Bibliographic Information

  • Book Title: Community-Based Integrated Care for Older Adults

  • Book Subtitle: A Practical Guide

  • Editors: Matthew K. McNabney

  • DOI: https://doi.org/10.1007/978-3-031-05137-1

  • Publisher: Springer Cham

  • eBook Packages: Medicine, Medicine (R0)

  • Copyright Information: The Editor(s) (if applicable) and The Author(s), under exclusive license to Springer Nature Switzerland AG 2022

  • Softcover ISBN: 978-3-031-05136-4Published: 17 August 2022

  • eBook ISBN: 978-3-031-05137-1Published: 16 August 2022

  • Edition Number: 1

  • Number of Pages: XI, 270

  • Number of Illustrations: 8 illustrations in colour

  • Topics: Geriatrics/Gerontology, General Practice / Family Medicine, Health Administration, Nursing

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