Centre for Policy on Ageing



Outpatient geriatric evaluation and management: is there an investment effect?
Author(s)	Ronald W Toseland, John C O'Donnell, Joseph B Engelhardt
Journal title	The Gerontologist, vol 37, no 3, June 1997
Pages	pp 324-332
Keywords	Needs [elderly] ; Health services ; Screening ; Evaluation ; Out-patients ; Costs [care] ; United States of America.
Annotation	Geriatric evaluation and management (GEM) includes comprehensive assessment and continuing care by a team of health care professionals, and has been suggested as one way of controlling costs while delivering high quality health care to frail older people. In this US study, the effectiveness and efficiency of outpatient GEM was compared to usual outpatient primary care (UPC). Although GEM had no overall impact on health care use or cost of care for the entire study period, significant reductions were found during the 16-24 month study period, suggesting a possible investment effect. In the first 8 months of the study, GEM patients incurred 34.8% more in health care costs than UPC patients, but in the final eight months of the study the cost of care for UPC patients exceeded that for GEM patients by 37.8%. (AKM).
Accession Number	CPA-980812404 A
Classmark	IK: L: 3V: 4C: LFB: QDC: 7T
Data © Centre for Policy on Ageing

...from the Ageinfo database published by Centre for Policy on Ageing.