The Gerontologist
 QUICK SEARCH:   [advanced]


This Article
Right arrow Full Text
Right arrow Full Text (PDF)
Right arrow Alert me when this article is cited
Right arrow Alert me if a correction is posted
Right arrow Similar articles in this journal
Right arrow Similar articles in PubMed
Right arrow Alert me to new issues of the journal
Right arrow Download to citation manager
Citing Articles
Right arrow Citing Articles via HighWire
Right arrow Citing Articles via Google Scholar
Google Scholar
Right arrow Articles by Bass, D. M.
Right arrow Articles by Eckert, S.
Right arrow Search for Related Content
Right arrow PubMed Citation
Right arrow Articles by Bass, D. M.
Right arrow Articles by Eckert, S.
The Gerontologist 43:73-85 (2003)
© 2003 The Gerontological Society of America

The Cleveland Alzheimer's Managed Care Demonstration: Outcomes After 12 Months of Implementation

David M. Bass, PhD1,, Patricia A. Clark, MA1, Wendy J. Looman1, Catherine A. McCarthy1 and Sharen Eckert, MS2

Correspondence: Address correspondence to David M. Bass, Benjamin Rose, 850 Euclid Avenue, Suite 1100, Cleveland, OH 44114. E-mail: dbass{at}

Purpose: This demonstration evaluates the effects of integrating Alzheimer's Association care consultation service with health care services offered by a large managed care system. The primary hypothesis is that Association care consultation will decrease service utilization, increase satisfaction with managed care, and decrease caregiver depression and care-related strain. Secondary modifying-effects hypotheses posit that the effects of the intervention will be intensified when patients have not received a firm dementia diagnosis, patients have more severe memory problems, caregivers use other Association services in tandem with care consultation, and caregivers are not patients' spouses. Design and Methods: The demonstration is a randomized trial that examines outcomes after a 12-month study period. Interview data from 157 primary family caregivers are combined with data abstracted from medical/administrative records. Results: Support for the primary hypothesis is found for selected, but not all, service utilization outcomes and for caregiver depression. Support for secondary modifying-effects hypotheses is found for satisfaction outcomes and care-related strain outcomes. Implications: Care consultation delivered within a partnership between a managed care health system and an Alzheimer's Association is a promising strategy for improving selected outcomes for patients with dementia and their caregivers.

This article has been cited by other articles:

Home page
GerontologistHome page
M. D. Sebern and C. J. Whitlatch
Dyadic Relationship Scale: A Measure of the Impact of the Provision and Receipt of Family Care
Gerontologist, December 1, 2007; 47(6): 741 - 751.
[Abstract] [Full Text] [PDF]

Home page
B. G. Vickrey, B. S. Mittman, K. I. Connor, M. L. Pearson, R. D. Della Penna, T. G. Ganiats, R. W. DeMonte Jr., J. Chodosh, X. Cui, S. Vassar, et al.
The Effect of a Disease Management Intervention on Quality and Outcomes of Dementia Care: A Randomized, Controlled Trial.
Ann Intern Med, November 21, 2006; 145(10): 713 - 726.
[Abstract] [Full Text] [PDF]

All GSA journals Journals of Gerontology Series A: Biological Sciences and Medical Sciences Journals of Gerontology Series B: Psychological Sciences and Social Sciences
Copyright © 2003 by The Gerontological Society of America.