Comprehensive geriatric care in a day hospital: a demonstration of the British model in the United States.
A geriatric day hospital (GDH) was developed in a community hospital to meet the complex medical and social needs of the frail elderly. A review of medical records (n = 273) and interviews with referring physicians (n = 42 on 96 patients) revealed that the GDH provided intensive outpatient care, geriatric assessment, rehabilitation, and an alternative to hospitalization. In all, 21% of physician-referred patients would have been hospitalized without the GDH, 7% would have had longer hospital stays, and care would have been deferred for 18%.
Morishita
L
L
Siu
A L
AL
Wang
R T
RT
Oken
C
C
Cadogan
M P
MP
Schwartzman
L
L
D000368:Aged; D000369:Aged, 80 and over; D003631:Day Care, Medical / Q000458:organization & administration*; D005069:Evaluation Studies as Topic; D005260:Female; D006299:Health Services for the Aged / Q000458:organization & administration*; D006744:Hospital Bed Capacity, 100 to 299; D006764:Hospitals, Community / Q000458:organization & administration*; D006801:Humans; D015141:Los Angeles; D008297:Male; D008962:Models, Theoretical; D010348:Patient Care Team; D010865:Pilot Projects