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CareWell-primary care Integrated care for community dwelling frail elders

CareWell-primary care Integrated care for community dwelling frail elders. Franca Ruikes , MD/GP, PhD candidate HJ Schers, SU Zuidema, WJ Assendelft, RTCM Koopmans. (Double) Ageing Austerity plans Complex and changing needs of frail elders;

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CareWell-primary care Integrated care for community dwelling frail elders

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  1. CareWell-primary careIntegrated care for community dwellingfrail elders Franca Ruikes, MD/GP, PhDcandidate HJ Schers, SU Zuidema,WJ Assendelft, RTCM Koopmans

  2. (Double) Ageing Austerityplans Complex and changingneeds of frail elders; Fromdisease-control toself-relianceandquality of life ->Integration of cure, care and welfare

  3. CareWell-primary care program Health-and information portal; Shared EPD + Communication tool

  4. Is the CareWell-primary care program* effective in improving Functioning(Katz-15 index sumscore) and Quality of life(EQ5D+C) of community-dwellingfrail elders? *Ruikes FGH et al. The CareWell-primary care program: design of a cluster controlled trial and process evaluation of a complex intervention targeting community-dwelling frail elderly. BMC FamPract. 2012 Dec 5;13:115.

  5. Design andMethods Cluster controlled non-randomized trial: 6 GP practices in bothintervention- and controlgroup 50 Frail elders (participants) clustered per practice; Screening on frailtywith the EasyCare-TOS instrument* (GCA) Follow up of 12 months * Van Kempen et al. (2013). "Development of an instrument for the identification of frail older people as a target population for integrated care." Br J Gen Pract63(608): e225-231.

  6. Subjects * P < 0.05

  7. Results

  8. Conclusions The CareWell-primary care program is ineffectiveonfunctioning and QoL Implementationtakes time! Relationdegree/fidelity of implementation and effect? Already strong Dutch primary care system Responsiveness Katz-15 and EQ5D in frailelderly?

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