Hospitals' motivations in establishing or closing geriatric evaluation management units: diffusion of a new patient-care technology in a changing health care environment
Hospitals' motivations to open or close geriatric evaluation management (GEM) units were studied through a nationwide survey of 3,655 hospitals. Among the respondents, 159 have established GEMs, 200 were considering opening GEMs while 1,236 had neither opened nor considered establishing one. Large, urban, teaching hospitals were more likely to establish or to consider opening a GEM while those that closed theirs were experiencing budget deficits. Space and nonphysician staffing were barriers for those who have established a GEM while identification of reimbursement sources and physician staffing were barriers for those considering GEMs.
Publication Name: Journals of Gerontology
Outpatient comprehensive geriatric assessment: an intervention whose time has come, or has it?
The goal of geriatric assessment is to improve diagnostic accuracy, guide intervention, recommend an optimal environment, predict outcomes, and monitor clinical change. In addition, studies have shown that programs linking evaluation with long-term management can improve survival and function in older patients. However, many researchers and physicians note that patients had the most difficulty in changing their lifestyles such as exercising, counseling, and smoking cessation.
Publication Name: Journal of the American Geriatrics Society
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