Centre for Policy on Ageing
 

 
What do we know about patient targeting in geriatric evaluation and management (GEM) programs?
Author(s)D Wieland, L Z Rubenstein
Journal titleAging: Clinical and Experimental Research, vol 8, no 5, October 1996
Pagespp 297-310
KeywordsHealth services ; Screening ; Evaluation ; United States of America.
AnnotationEvidence indicates that institution-based programmes for interdisciplinary geriatric evaluation and management (GEMs) improve outcomes of care, but results vary considerably between studies. Targeting (i.e. selective admission of frail elderly patient subgroups who are thought particularly to benefit) has been advocated for improving the cost-effectiveness of GEM programmes; results from meta-analysis give this concept some support. This review describes approaches to GEM targeting and development of selection criteria; assesses evidence from randomised trials concerning the effects of targeting on outcome; and suggests an agenda for further research on GEM targeting.
Accession NumberCPA-970327029 A
ClassmarkL: 3V: 4C: 7T

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