A strategic response to the challenges presented by older patients with Alzheimer's disease and other types of dementia

Clinical dementia has become one of the most serious and persistent health problems affecting persons over the age of 65. Efforts to find a cure for Alzheimer's disease and other causes of dementia are ongoing, while healthcare executives continue to face a number of challenges. Access to targe...

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Bibliographic Details
Published in:Journal of healthcare management 2004-01, Vol.49 (1), p.32-45
Main Author: Kaskie, Brian
Format: Article
Language:English
Subjects:
Adult day care
Age
Aged
Aged, 80 and over
Alzheimer Disease - economics
Alzheimer Disease - epidemiology
Alzheimer Disease - therapy
Alzheimer's disease
Baby boomers
Brain
Caregivers
Case management
Continuity of Patient Care - organization & administration
Control
Dementia
Dementia - economics
Dementia - epidemiology
Dementia - therapy
Disability
Elder care
Executives
Health administration
Health care delivery
Health care policy
Health Expenditures
Health Facility Administrators
Health Services Accessibility
Home health care
Hospital administration
Humans
Inservice Training - organization & administration
Medicare
Nursing homes
Older people
Patients
Primary care
Program Development
Risk factors
Strategic planning
Success factors
United States - epidemiology
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Summary:Clinical dementia has become one of the most serious and persistent health problems affecting persons over the age of 65. Efforts to find a cure for Alzheimer's disease and other causes of dementia are ongoing, while healthcare executives continue to face a number of challenges. Access to targeted programs and services for persons with dementia is lacking. The costs of program development and service delivery are substantial. Persons with dementia who do use services often do not receive the most effective and efficient care, and their providers often do not receive sufficient payment. Because few examples exist of how healthcare executives can appropriately respond to these challenges, we created an operational planning strategy. This strategy defines the challenges presented by persons with dementia, identifies four viable responses, and describes two factors that will contribute to successful implementation of these responses. If healthcare executives begin planning now, then the challenges presented by one of the more serious health problems of the next 20 years can be mitigated.
ISSN:1096-9012
1944-7396
DOI:10.1097/00115514-200401000-00007