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Centre for Policy on Ageing | |
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| Outpatient geriatric evaluation and management | | Author(s) | Chad Boult, Lisa Boult, Lynne Morishita |
| Journal title | Journal of the American Geriatrics Society, vol 46, no 3, March 1998 |
| Pages | pp 296-302 (Models of geriatrics practice) |
| Keywords | Out-patients ; Management [care] ; Evaluation ; United States of America. |
| Annotation | Community-dwelling, medically stable Medicare beneficiaries age 70 and over with a high probability of repeated hospital admissions took part in this study of a model of outpatient geriatric evaluation and management (GEM). At enrolment, the average patient was 78.7 years old, took 5 long-term prescriptions, and was unable to perform 0.5 (of 6) activities of daily living (ADL) and 1.4 (of 7) instrumental ADL. 71.3% reported hospital days during the previous year. Each of three interdisciplinary teams (geriatrician, gerontological nurse practitioner, nurse and social worker) performed comprehensive assessments and then provided primary care and case management to a case load of 45-52 patients. On average, GEM required 6 months, during which patients visited the GEM clinic 7.4 times, had 10.4 active problems dealt with, spoke to GEM staff members weekly by telephone, and were referred to two other providers. Most patients completed the programme; 66.7% completed advanced directives. Satisfaction with GEM was high among the patients and their established primary physicians. Cost of GEM personnel averaged about $1540 per patient treated, and provided targeted intensive care at a reasonable cost. (RH). |
| Accession Number | CPA-980821004 A |
| Classmark | LFB: QA: 4C: 7T |
Data © Centre for Policy on Ageing |
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| ...from the Ageinfo database published by Centre for Policy on Ageing. |
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