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Does geriatric evaluation and management improve the health behavior of older veterans in psychological distress?
Author(s)John C O'Donnell, Ronald W Toseland
Journal titleJournal of Aging and Health, vol 9, no 4,, November 1997
Pagespp 473-497
KeywordsAnxiety ; Depression ; Needs [elderly] ; Evaluation ; Usage [services] ; United States of America.
AnnotationA randomised, controlled trial compared prospective 16-month health service use among 160 frail, older veterans receiving outpatient geriatric evaluation and management (GEM) or usual primary care. In this secondary analysis, multivariable regression was used to determine if the psychosocial assessment and support provided by the GEM team moderated the use of medical services by patients in psychological distress. The results indicate that GEM reduced outpatient use among patients who scored higher on a measure of somatisation, but GEM increased outpatient use among patients with higher manifest anxiety. Psychological distress was not a factor in the use of inpatient services. GEM had a modest beneficial effect on the health behaviour of frail older persons manifesting some symptoms of psychological distress. (AKM).
Accession NumberCPA-980407231 A
ClassmarkENP: ENR: IK: 4C: QLD: 7T

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