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Community-Based Health Care for Frail Seniors: Development and Evaluation of a Program
Geriatrics & Aging, 10/19/09

Duke DC et al. – The delivery of relevant and coordinated health care to community–dwelling frail older adults is challenging. The community–based program described in this article applies a collaborative and flexible approach to the management and coordination of care of frail older adults. Although a feature of the program is its small size, its connection with professionals and services within a comprehensive health care system creates a much larger “virtual team.” Effectiveness of care is maintained through ongoing communication with care providers and the development of connections within the larger team.

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