By Evan Calkins PhD, Chad Boult MD MPH, Edward H. Wagner Md MPH, James T. Pacala MD MS

This e-book conveys the good news: there's significant facts that practitioners themselves can layout better platforms of take care of older humans, frequently at decrease expenses. The researchers right here element the best way forward: "evidence-based" interventions; proactive population-based care courses; patient-centered supply models--all constructed below rigorous learn controls and less than the mandates of controlled care. the implications said listed below are facts that the convergence of well being pursuits, sufferer participation, and controlled care management could be harnessed for better and sometimes less costly gerontologic care.

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Implementation and effectiveness of a community-based health promotion program for older adults. Journal of Gerontology, 53 A, M301-M306. Watkins, A. , & Kligman, E. W. (1993). Attendance patterns of older adults in a health promotion program. Public Health Reports, 108, 86-90. Weiner, D. , Duncan, P. , & Studenski, S. A. (1992). Functional reach: A marker of physical frailty. Journal of the American Geriatrics Society, 40, 203-207. 2 Prevention of Disease James T. Pacala BACKGROUND A system of care for older populations should seek to prevent diseases that cause the greatest mortality and morbidity.

Clark, C. (1995). Improving physicians' preventive health care behavior through peer review and financial incentives. Archives of Family Medicine, 4, 165-169. Mullooly, J. , Bennett, M. , Hornbrook, M. , Barker, W. , Williams, W. , Patriarca, P. , & Rhodes, P. H. (1994). Influenza vaccination programs for elderly persons: Cost-effectiveness in a health maintenance organization. Annals of Internal Medicine, 121, 947-952. National Center for Health Statistics. (1990). Current estimates from the National Health Interview Survey, 1989.

Frailty: Constructing a common meaning, definition, and conceptual framework. International Journal of Rehabilitation Research, 18, 93-102. Buchner, D. , & Pearson, D. C. (1989). Factors associated with participation in a community senior health promotion program: A pilot study. American Journal of Public Health, 79, 775-777. Buchner, D. M, Cress, M. , de Lateur B. , Esselman, P. , Margherita, A. , & Wagner, E. H. (1997). The effect of strength and endurance train- 16 When the Older Person Is Healthy and Independent ing on gait, balance, fall risk, and health services use in community-living older adults.

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