Publications by authors named "Elissa Nickolopoulos"
Article Synopsis
- - Residents identified major structural barriers to Advance Care Planning (ACP) in outpatient settings, particularly citing lack of clinic time (99%) and the need to prioritize other medical issues (94%).
- - A survey conducted in 2022 revealed that many residents felt less confident in their ACP skills, especially interns, who reported a lack of knowledge about ACP processes and patient prognoses.
- - Suggested interventions to improve ACP included allowing dedicated appointment times for ACP discussions, with 96% of residents supporting this idea, indicating a need for better scheduling and training in residency programs.
This article describes the Highly Individualized Dedicated Onsite Care (HIDOC) intensive primary care program implemented at a university clinic, comprising (a) care by an interprofessional team, (b) new logistical capacity, and (c) clinician skills training. Measured outcomes include Emergency Department (ED) visits and hospitalizations at a university and a community hospital over 2 years, using a within-subjects design. We demonstrate decreased hospitalizations at the University Hospital, and a decrease in ED visits at both sites.
View Article and Find Full Text PDFPrimary care practices lack the time, expertise, and resources to perform traditional comprehensive geriatric assessment. In particular, they need methods to improve their capacity to identify and care for older adults with complex care needs, such as cognitive impairment. As the US population ages, discovering strategies to address these complex care needs within primary care are urgently needed.
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