Tuesday, March 31, 2009

Guided Care

.......an elegant sounding idea. This could be something our Home Care coordinators take on with an increased case management role. Unfortunately, again , no hard outcomes according to a JAMA study of 15 similar programmes. My guess would be that the closer the working relationship with the attending physician the greater the savings on unnecessary visits, tests etc. On a positive note the Guided Care trial found "Results showed that patients rated the quality of their health care higher, physicians reported increased satisfaction, and caregivers registered lower stress levels on a measurement called the C.S.I. — the Caregiver Strain Index".

Friday, March 27, 2009

Cost of LTC in New Brunswick

from $70 to $83 a day. Although this only affects those with an income >$56,000 where is the equity in a system that covers your hospital costs but not your chronic care costs? Is functional loss from dementia a less legitimate need than any other medical condition?

Nursing home fee hike hits hard for some N.B. families

geriatricians to leave Cape Breton

a sad commentary






Geriatric specialists plan exit from Cape Breton