Christopher Callahan

..abstract:..

..To describe transitions in care of persons with dementia with attention to nursing facility transitions...

..To determine the effect of collaborative care management for depression on physical functioning in older adults...

..Most older adults with dementia will be cared for by primary care physicians, but the primary care practice environment presents important challenges to providing quality care...

..There is a dynamic interplay between design features, reputation, and capacity that modulates volume, location, and type of patients seen by geriatrics...

..This requires investments in the design and testing of an improved infrastructure for care that matches our national investment in the search for cure...

..The purpose of this article is to describe our experience in implementing a primary care-based dementia and depression care program focused on providing collaborative care for dementia and late-life depression...

..Factors contributing to this longitudinal variability in outcomes are reviewed, including the role of medical health factors. The review closes with suggestions for next steps in the epidemiological research of mild cognitive impairment...

..The population-level impact of screening for preclinical AD and treating with a disease-modifying agent is important when evaluating new biomarkers and medications...

..To provide, from the healthcare delivery system perspective, a cost analysis of the Geriatric Resources for Assessment and Care of Elders (GRACE) intervention, which is effective in improving quality of care and outcomes...

..The effectiveness of the GRACE intervention is being evaluated in a randomized, controlled trial...

..Depression is common in older adults and often coexists with multiple chronic diseases, which may complicate its diagnosis and treatment...

..Low-income seniors frequently have multiple chronic medical conditions for which they often fail to receive the recommended standard of care...

..However, many questions remain about the characteristics of AD patients and their caregivers that contribute to this stress and how it impacts caregivers' use of healthcare resources...

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..Primary care physicians are positioned to provide early recognition and treatment of dementia. We evaluated the feasibility and utility of a comprehensive screening and diagnosis program for dementia in primary care...

..37) or SCID score (P=.44). These findings should caution physicians against acceptance of borderline TSH values as the primary cause of a patient's clinical depression...

..We determined the extent to which referral-based consultations were completed in a US medical institution. Factors associated with completion were identified...

..The aim of this study was to identify the characteristics of patients who refuse a clinical diagnostic assessment for dementia after screening...

..To design a brief cognitive screener with acceptable sensitivity and specificity for identifying subjects with cognitive impairment...

..To determine the internal consistency and construct and predictive validity of three survey questions regarding steadiness in a sample of community-dwelling lower-income older adults...

..We finally describe the implementation of a new program, the Aging Brain Care Medical Home as a case study of our proposed evaluation process...

..Future work is needed to determine how to target symptoms as a potential mechanism to reduce health care use and mortality...

..To compare the medical comorbidity of older patients with and without dementia in primary care...

..To evaluate the effectiveness of computer-assisted decision support in reducing potentially inappropriate prescribing to older adults...

..Implementation of these strategies will depend on the presence of a viable community or primary care based dementia screening and diagnosis program and patient acceptance of such a program...

..The aim of this study was to describe and contrast perceptions of self-management among socioeconomically vulnerable and nonvulnerable older adults...

..To develop a questionnaire that will capture patients' attitudes about dementia screening in primary care...

..To determine the extent to which relying on only one source of data leads to incomplete assessment of pneumococcal polysaccharide vaccine (PPV) or mammography...

..The hypothesis for this research was that decision support in a computerized physician order entry system would reduce the rate of excessive medication dosing for patients with renal impairment...

..However, few studies met the quality criteria for inclusion in this systematic review, and most of these studies were small and had methodologic limitations...

..However, many major improvements in medication use among older adults will also depend on closing the gap between knowledge and practice and increasing the ability of older adults to manage their medications...

..Information systems that improve communication among providers during these transitions have the potential to improve safety and reduce costs...

..The purpose of this study was to conduct a systematic review of the literature of cardiovascular factors pertaining to incident Alzheimer disease (AD)...

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..Depression is a leading cause of functional impairment in elderly individuals and is associated with high medical costs, but there are large gaps in quality of treatment in primary care...

..Few depressed older adults receive effective treatment in primary care settings...

..The barriers and strategies identified in this supplement may also inform efforts to enhance the skills of practicing physicians and improve training and faculty development in family medicine and other disciplines...

..To examine rates and predictors of lifetime and recent depression treatment in a sample of 1,801 depressed older primary care patients..

..We investigated responsiveness to treatment, reproducibility, and minimal clinically important difference of the Patient Health Questionnaire-9 (PHQ-9), a standard instrument for diagnosing depression in primary care...

..Our research seeks to describe the costs and outcomes of care across the full continuum of health care for older adults with dementia. This descriptive data will help inform new treatment models. ..

..Our research seeks to describe the costs and outcomes of care across the full continuum of health care for older adults with dementia. This descriptive data will help inform new treatment models. ..

..We also propose a new partnership with the Indiana Medicaid Office and State Department of Health to allow application of our findings to the statewide population of vulnerable elders. ..

..Through this research, the candidate will provide exciting research opportunities for a new generation of mentored-scientists. ..

..abstract_text> ..

..He envisions the aging research program IU as developing into one which help to understand how to translate basic discoveries into changes in primary care providers practice patterns and older adults health behaviors. ..

..For this reason, effective approaches to providing longitudinal care in the community for this burgeoning population are urgently needed. ..