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Satisfaction with outpatient geriatric evaluation and management (GEM)
Author(s)Lynne Morishita, Chad Boult, Lisa Boult
Journal titleThe Gerontologist, vol 38, no 3, June 1998
Pagespp 303-308
KeywordsNeeds [elderly] ; Health services ; Screening ; Evaluation ; Quality ; Over 70s ; Out-patients ; Attitude ; United States of America.
AnnotationOutpatient geriatric evaluation and management (GEM) is a sustained, intensive interdisciplinary process that beings with a comprehensive geriatric assessment and continues until the implementation of a new plan of health care has been implemented. However, there has been concerns that GEM may not be satisfactory to older adults due to the stresses involved. The aim of this US study was to evaluate high-risk older adults' satisfaction with GEM. It also explored the degree to which primary physicians were satisfied with GEM care. Community-dwelling Medicare beneficiaries, aged 70 years and over who had a high probability of repeated admission to hospitals were randomly assigned to receive either usual care or GEM for 6 months. Findings revealed that despite the stresses imposed by outpatient GEM (e.g.; new relationships with health care providers, frequent office visits and changes in treatment) the mean satisfaction scores of the recipients of GEM were 9% higher than those of the recipients of usual care. The primary physicians of GEM recipients were also highly satisfied with GEM care. (AKM).
Accession NumberCPA-980810410 A
ClassmarkIK: L: 3V: 4C: 59: BBK: LFB: DP: 7T

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