Featured Publications
Effect of a Restorative Model of Posthospital Home Care on Hospital Readmissions
Tinetti ME, Charpentier P, Gottschalk M, Baker DI. Effect of a Restorative Model of Posthospital Home Care on Hospital Readmissions. Journal Of The American Geriatrics Society 2012, 60: 1521-1526. PMID: 22860756, PMCID: PMC4083654, DOI: 10.1111/j.1532-5415.2012.04060.x.Peer-Reviewed Original ResearchConceptsHome care episodeHome careUsual careHospital readmissionCare groupCare episodesCare modelLarge home care agencyUsual home careUsual care groupEmergency department visitsGood functional recoveryChronic care managementHome care practicesGroups of recipientsDepartment visitsAvoidable readmissionsFunctional recoveryRestorative careAcute hospitalsHome care agenciesBehavioral change theoriesMedicare recipientsReadmissionCare managementEvaluation of Restorative Care vs Usual Care for Older Adults Receiving an Acute Episode of Home Care
Tinetti ME, Baker D, Gallo WT, Nanda A, Charpentier P, O'Leary J. Evaluation of Restorative Care vs Usual Care for Older Adults Receiving an Acute Episode of Home Care. JAMA 2002, 287: 2098-2105. PMID: 11966384, DOI: 10.1001/jama.287.16.2098.Peer-Reviewed Original ResearchConceptsHome care episodeUsual care patientsCare patientsCare episodesRestorative careCare officesUsual careHome careFunctional statusFunctional declineUsual home careHealth care utilizationSelf-care functionSevere cognitive impairmentReceipt of MedicareHome care servicesAcute episodeBaseline characteristicsOlder patientsCare unitCare utilizationEmergency departmentTotal careHome care agenciesPatientsA Multifactorial Intervention to Reduce the Risk of Falling among Elderly People Living in the Community
Tinetti M, Baker D, McAvay G, Claus E, Garrett P, Gottschalk M, Koch M, Trainor K, Horwitz R. A Multifactorial Intervention to Reduce the Risk of Falling among Elderly People Living in the Community. New England Journal Of Medicine 1994, 331: 821-827. PMID: 8078528, DOI: 10.1056/nejm199409293311301.Peer-Reviewed Original ResearchConceptsRisk factorsIntervention groupControl groupPrescription medicationsAdjusted incidence rate ratioTargeted risk factorsUsual health careElderly peopleRisk factor modificationIncidence rate ratiosUse of sedativesTime of reassessmentYears of ageParticular risk factorsRange of motionProportion of personsPostural hypotensionMultifactorial interventionSerious morbidityExercise programGait impairmentBalance impairmentLeg strengthElderly personsMedications
2001
The Design and Implementation of a Restorative Care Model for Home Care
Baker D, Gottschalk M, Eng C, Weber S, Tinetti M. The Design and Implementation of a Restorative Care Model for Home Care. The Gerontologist 2001, 41: 257-263. PMID: 11327492, DOI: 10.1093/geront/41.2.257.Peer-Reviewed Original ResearchConceptsFunctional outcomeOlder adultsAcute disease processHome careMultidisciplinary work groupHome health aidesHome-based careOlder patientsChronic disabilityPractice patternsHome care agenciesCare modelPatient progressRehabilitative interventionsDisease processMedical treatmentHealth aidesFunctional independenceCareCare agenciesPersonal careAdultsOutcomesPatientsWork groups
1999
Home-based multicomponent rehabilitation program for older persons after hip fracture: A randomized trial
Tinetti M, Baker D, Gottschalk M, Williams C, Pollack D, Garrett P, Gill T, Marottoli R, Acampora D. Home-based multicomponent rehabilitation program for older persons after hip fracture: A randomized trial. Archives Of Physical Medicine And Rehabilitation 1999, 80: 916-922. PMID: 10453768, DOI: 10.1016/s0003-9993(99)90083-7.Peer-Reviewed Original ResearchConceptsMulticomponent rehabilitation programUsual careHip fractureRehabilitation programExtremity strengthOlder personsBetter gait performanceSelf-care ADLDaily living (ADL) disabilityDuration of rehabilitationOptimal functional recoveryProportion of participantsRehabilitation strategiesLower extremity strengthUpper extremity strengthYears of ageHome-based rehabilitationSocial activity levelsHome care servicesPrefracture levelSurgical repairFunctional recoveryImproved outcomesGait performanceHome care agenciesOlder persons' preferences for site of terminal care.
Fried T, Doorn C, O'Leary J, Tinetti M, Drickamer M. Older persons' preferences for site of terminal care. Annals Of Internal Medicine 1999, 131: 109-12. PMID: 10419426, DOI: 10.7326/0003-4819-131-2-199907200-00006.Peer-Reviewed Original ResearchConceptsTerminal careOlder persons' preferencesCommunity-dwelling persons 65 yearsChronic obstructive pulmonary diseaseCongestive heart failureObstructive pulmonary diseasePersons 65 yearsSite of careLong-term care needsCare of disabilitiesFamily membersNonterminal illnessHeart failurePulmonary diseaseQuantitative interviewsPatient preferencesLife careCare needsNursing homesQualitative interviewsTerminal illnessParticipants' homesOlder personsHospitalCareWho Dies at Home? Determinants of Site of Death for Community‐Based Long‐Term Care Patients
Fried T, Pollack D, Drickamer M, Tinetti M. Who Dies at Home? Determinants of Site of Death for Community‐Based Long‐Term Care Patients. Journal Of The American Geriatrics Society 1999, 47: 25-29. PMID: 9920226, DOI: 10.1111/j.1532-5415.1999.tb01897.x.Peer-Reviewed Original ResearchConceptsSite of deathInpatient hospiceLong-term care patientsCommunity-based long-term care programsDependent functional statusPatients 65 yearsChronic lung diseaseCoronary artery diseaseYear of admissionCommunity-based long-term careLong-term care programsLong-term careCohort studyArtery diseaseCare patientsHome deathLung diseaseFunctional statusPatient preferencesHomecare patientsFemale genderTerminal careMAIN OUTCOMECare needsNursing homes
1998
Older Persons’ Preferences for Site of Treatment in Acute Illness. ANNOUNCEMENT
Fried T, Van Doorn C, Tinetti M, Drickamer M. Older Persons’ Preferences for Site of Treatment in Acute Illness. ANNOUNCEMENT. Journal Of General Internal Medicine 1998, 13: 522-527. PMID: 9734788, PMCID: PMC1496998, DOI: 10.1046/j.1525-1497.1998.00162.x.Peer-Reviewed Original ResearchConceptsAcute illnessHome care servicesHome treatmentHome careCare servicesChronic obstructive pulmonary diseaseCongestive heart failureObstructive pulmonary diseaseProcess of careLower intensity servicesSite of treatmentOlder persons' preferencesPersons age 65Health care systemHeart failurePulmonary diseasePatient preferencesHospital careMedical careAge 65Older personsHospitalIllness experienceCare systemCareFactors Associated With Six‐Month Mortality in Recipients of Community‐Based Long‐Term Care
Fried T, Pollack D, Tinetti M. Factors Associated With Six‐Month Mortality in Recipients of Community‐Based Long‐Term Care. Journal Of The American Geriatrics Society 1998, 46: 193-197. PMID: 9475448, DOI: 10.1111/j.1532-5415.1998.tb02538.x.Peer-Reviewed Original ResearchConceptsSix-month mortalityShort-term mortalityPresence of cancerCommunity-based long-term careLong-term careHeart diseaseChronic obstructive pulmonary diseaseNutritional problemsObstructive pulmonary diseaseSevere cognitive impairmentCommunity-based waiverCohort studyPulmonary diseaseHomecare programMortality registryMale sexFunctional impairmentClinical dataAdmission assessmentRoutine assessmentCognitive impairmentHealth statusMultivariate analysisCognitive statusMortality