Judd Rebecca G, Moore Brenda A
Department of Social Work, Texas A & M University, Commerce, Texas 75429–3011, USA.
J Gerontol Soc Work. 2011 Oct;54(7):647-58. doi: 10.1080/01634372.2011.583332.
A model for holistic care management that would enhance outcomes for economically vulnerable older adults who receive an array of disjointed services administered through the older Americans Act (OAA) and local Area Agencies on Aging (AAA) is proposed. Fragmented service delivery is typically wasteful and ineffectual, but comprehensive care management that includes an autonomous care manager, a single interagency plan of care and ongoing monitoring that is client-centered may protect those aging in poverty from negative health outcomes.
本文提出了一种整体护理管理模式，该模式将改善经济弱势老年人的护理效果。这些老年人接受了一系列通过《美国老年人法案》（OAA）和当地老年事务区域机构（AAA）提供的分散服务。分散的服务提供通常既浪费又无效，但全面的护理管理，包括自主的护理经理、单一的跨机构护理计划以及以客户为中心的持续监测，可能会保护贫困老年人免受负面健康结果的影响。
