INPATIENT GERIATRIC EVALUATION AND MANAGEMENT UNITS - ORGANIZATION AND CARE PATTERNS IN THE DEPARTMENT-OF-VETERANS-AFFAIRS

被引：10

作者：

WIELAND, D

HEDRICK, SC

RUBENSTEIN, LZ

BUCHNER, DM

REUBEN, DB

HARKER, JO

机构：

[1] UNIV CALIF LOS ANGELES,SCH MED,GERIATR MED & GERONTOL PROGRAM,LOS ANGELES,CA

[2] VET ADM MED CTR,HLTH SERV RES & DEV FIELD PROGRAM,SEATTLE,WA

[3] UNIV WASHINGTON,DEPT HLTH SERV,SEATTLE,WA 98195

来源：

GERONTOLOGIST | 1994年 / 34卷 / 05期

关键词：

GERIATRIC ASSESSMENT; HEALTH SERVICES RESEARCH; NURSING HOME PLACEMENT;

D O I：

10.1093/geront/34.5.652

中图分类号：

R4 [临床医学]; R592 [老年病学];

学科分类号：

1002 ; 100203 ; 100602 ;

摘要：

Geriatric evaluation and management units (GEMs) are designed to improve the functional health and placement of frail elderly hospital inpatients. We surveyed Department of Veterans Affairs (VA) GEMs to describe their care patterns and organization. GEMs meeting consensus standards (n = 46) varied considerably. Hospital, GEM, and patient-admission factors (e.g., hospital psychiatric mix, GEM location, proportion of GEM admissions from nursing homes) predicted length-of-stay, readmission rate, and discharge status. Ongoing monitoring may improve the effectiveness of VA GEMs systemwide.

引用

页码：652 / 657

页数：6