Targeting strategies: an overview of criteria and outcomes.

Targeting strategies: an overview of criteria and outcomes. Research Abstract Details 

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Targeting strategies: an overview of criteria and outcomes. Abstract Text:

Researchers generally agree that Geriatric Evaluation and Management (GEM) Units are effective only when they are targeted at a specific group of frail, elderly patients who are most likely to benefit. Such patients are those who are neither too sick (eg, severely demented or moribund) nor too well. Various strategies for identifying such patients have been employed by investigators with little consensus on the most efficient targeting criteria. Criteria most often use for inclusion in GEM programs are various combinations of patient age, degree of functional impairment, presence of geriatric conditions (eg falls, incontinence, confusion), particular diagnostic conditions (eg, multiple disorders), and psychosocial conditions (eg, living alone, recent bereavement, low income). Commonly used exclusion factors are severe dementia, inevitable nursing home placement, and terminal illness. Outcome studies suggest that beneficial effects of GEM care are most apparent when patients are selected using specific clinical criteria. Future research on targeting should address the potential need for differing criteria in different settings (eg, inpatient vs outpatient GEM units), simplifications of criteria for greatest ease of application, and prospective evaluation of which criteria best predict functional improvement, longer survival, and reduced health care expenditures in response to GEM care.

Targeting strategies: an overview of criteria and outcomes. Publishing Authors By Initials

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Targeting strategies: an overview of criteria and outcomes. Journal Published:

PUBLICATION TYPE: Review

Journal: Journal of the American Geriatrics Society

VOLUME: 39

Page Numbers: 25S-35S

Journal Abbreviation: J Am Geriatr Soc

ISSN: 0002-8614

DAY: 10

MONTH: Sep

YEAR: 1991

Targeting strategies: an overview of criteria and outcomes. Information

Number of References: 41

LANGUAGE: eng

NlmUniqueID: 7503062

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KEYWORDS: United States

MESH TERMS: standards

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Grant and Affiliation Information for Targeting strategies: an overview of criteria and outcomes.

AFFILIATION: Geriatric Research, Education, and Clinical Center, Veterans Affairs Medical Center, Palo Alto, CA 94304.

Country: UNITED STATES

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MEDLINETA: J Am Geriatr Soc

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