Outpatient geriatric evaluation and management. Results of a randomized trial.
The effectiveness and efficiency of outpatient geriatric evaluation and management (GEM) was compared with usual outpatient primary care (UPC). One hundred sixty frail elderly outpatients were assigned randomly to GEM or UPC and assessed at baseline and at 8 months on measures of (1) health and functional status, (2) psychosocial well-being, (3) quality of health and social care, (4) use of inpatient and outpatient services, and (5) cost of care. The results indicate that GEM was significantly more effective than UPC in reducing mortality, increasing patient satisfaction, and improving the quality of health and social care. However, it was not effective in reducing health care use or the cost of care.
Toseland
R W
RW
Ringel Institute of Gerontology, School of Social Welfare, State University of New York, Albany, USA.
O'Donnell
J C
JC
Engelhardt
J B
JB
Hendler
S A
SA
Richie
J T
JT
Jue
D
D
D000203:Activities of Daily Living; D000368:Aged; D005500:Follow-Up Studies; D016330:Frail Elderly; D015577:Geriatric Assessment; D006302:Health Services Research; D006305:Health Status Indicators; D017721:Hospital Costs; D006787:Hospitals, Veterans; D006801:Humans; D008297:Male; D009518:New York; D017063:Outcome Assessment, Health Care; D010044:Outpatient Clinics, Hospital / Q000458:organization & administration*; D010348:Patient Care Team; D017060:Patient Satisfaction; D011320:Primary Health Care / Q000458:organization & administration*; D015397:Program Evaluation