Integration of geriatric assessment into the community.
The integration of geriatric assessment into the community calls for more than effective communication. There should be a defined approach to comprehensive care, of which the assessment service is a regular part, and the assessment process should have a predictable influence on further care decisions. Three types of integrating approaches are described: the "recognized specialty" approach, which is typical of several other developed countries; the "consolidated model," such as the On Lok program in San Francisco; and the "brokerage" model, such as the ACCESS program in Rochester, New York. Each approach has strengths and limitations. We may expect further evolution toward fully integrated programs.
D000368:Aged; D001315:Australia; D003153:Community Health Services; D006299:Health Services for the Aged / Q000458:organization & administration*; D006801:Humans; D008962:Models, Theoretical; D006113:United Kingdom; D014481:United States