Coyne Paige, Susick Laura, Schultz Lonni, Santarossa Sara, Gough Philesha, Rice Shetoya, Brewster Nubia, Behrendt Rob, Bilicki Veronica
Department of Public Health Sciences, Henry Ford Health, Detroit, MI, USA.
Henry Ford Health + Michigan State University Health Sciences, East Lansing, MI, USA.
J Patient Exp. 2024 Oct 15;11:23743735241272152. doi: 10.1177/23743735241272152. eCollection 2024.
Navigating health and social care in the United States can be difficult for people of all ages, but older adults often have multiple health problems, chronic illnesses, and disabilities that can increase the complexities of their care. To assist older adult patients and/or their caregivers with coordinating care, and providing information, advocacy, and resources, Henry Ford Health (HFH) implemented a Senior Care Navigation Program (SCNP). Older HFH patients or their caregivers were referred to the SCNP either by a provider or another member of their care team. A senior navigator (SN) then reached out to the patient/caregiver by telephone to discuss the SCNP and their support/care needs. The SN scheduled follow-up calls as needed. Patients/caregivers enrolled in Phase 1 of this pilot program were given the option to join the evaluation group. These patients were interviewed by an independent research interviewer at baseline, 3-, 6-, and 9-month post initial contact to complete 5 patient-reported outcomes measures. Our Phase 1 pilot has demonstrated significant improvements in the EQ5D (health-related quality of life) and two patient-reported outcomes measurement information system (PROMIS) measures (depression and anxiety) suggesting that the SCNP program at HFH is having a positive impact on older adult patients' health and well-being. In Phase 2, we will further evaluate the impact of the SCNP on healthcare utilization.
对于所有年龄段的人来说，在美国应对医疗和社会护理都可能很困难，但老年人往往有多种健康问题、慢性病和残疾，这会增加他们护理的复杂性。为了帮助老年患者和/或他们的护理人员协调护理，并提供信息、宣传和资源，亨利·福特健康（HFH）实施了一项老年护理导航计划（SCNP）。HFH的老年患者或他们的护理人员由医疗服务提供者或其护理团队的其他成员转介到SCNP。然后，一名高级导航员（SN）通过电话联系患者/护理人员，讨论SCNP及其支持/护理需求。SN根据需要安排后续电话。参加该试点项目第一阶段的患者/护理人员可以选择加入评估组。这些患者在基线、初次接触后3个月、6个月和9个月时接受了独立研究访谈员的访谈，以完成5项患者报告的结局指标测量。我们的第一阶段试点已证明EQ5D（健康相关生活质量）以及两项患者报告的结局测量信息系统（PROMIS）指标（抑郁和焦虑）有显著改善，这表明HFH的SCNP项目对老年患者的健康和福祉产生了积极影响。在第二阶段，我们将进一步评估SCNP对医疗保健利用的影响。
