Can Primary Care Meet the Biopsychosocial Needs of Older Adults with Dementia?
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In an urban health care system that is responsible for delivering care to approximately 90,000 adult patients, a typical primary care provider delivers care to a panel of about 2,000 patients1, 2. Among the 300 patients aged 65 years and older in this typical primary care provider panel, 150 of these older adults suffer from at least three chronic conditions, 195 patients report musculoskeletal pain, 93 patients report feeling anxious, and 63 patients are hospitalized every year1, 2, 3, 4. Applying relevant management guidelines for each chronic disease that is affecting the average older patient would lead to the prescription of approximately 12 medications with a cost of $400 per patient per month, numerous complex non-pharmacological regimens, and attention to conflicting recommendations and drug interaction across disease-specific guidelines5. In addition to managing acute illnesses, this primary care provider needs an estimated 10 hours per working day to deliver all of the...
KEY WORDSprimary care biopsychosocial needs dementia
Dr. Boustani is supported by NIA Paul B. Beeson K23 Career Development Award # 1-K23-AG026770-01. Dr. Sachs is supported by Alzheimer’s Association grant IIRG-07-60105. Dr. Callahan is supported by NIA awards K24-AG026770-01 and P30AG024967.
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