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Health Service Delivery for Patients with Complex Care Needs

Health Service Delivery for People with Complex Care Needs

As the U.S. population ages, the number of Americans who have chronic health conditions will greatly increase. These demographic and epidemiologic dynamics will strain the capacity and the sustainability of the acute care-oriented U.S. health care system, which now provides chronic care ineffectively and inefficiently. New health service delivery systems will need to be developed, evaluated, and disseminated into widespread practice in order to deliver high-quality, cost-effective care for older adults.

Research Focus

In recent work that includes partnerships with other health care institutions and agencies, researchers from the Center for Transformative Geriatric Research have explored the development of geriatrics health service delivery at all levels of the health system, from the patient and their family or caregivers to providers, hospital and health system. Using a wide array of qualitative and quantitative research techniques, investigators are finding new and better ways to care for older adults.

Current Research Studies

Hopkins investigators have been at the forefront of developing, evaluating, and disseminating into practice new models of geriatric health service delivery to care for an aging population. Current research studies are focused on:

  • Clinical interventions to improve transitions of older adults across the continuum of care
  • Community-based long-term care
  • Program of All-inclusive Care for the Elderly (PACE)
  • Hospital at Home
  • Home-based primary care
  • Home-based palliative care
  • Skilled home health care, assisted living, and long-term care
  • Guided care
  • Models of multidisiplinary care for people with dementia
  • CAPABLE
  • Assisted living facilities

Faculty Investigators

Collaborators