TY - JOUR
T1 - Research Strategies for Geriatric Evaluation and Management
T2 - Conference Summary and Recommendations
AU - Meehan, Shirley
AU - Deyo, Richard
AU - Applegate, William
PY - 1991/9
Y1 - 1991/9
N2 - In this paper, we present the consensus statement from a national conference on research priorities and methodologies for studying geriatric evaluation and management (GEM) programs. These conclusions, discussion points, and recommendations resulted from discussions of plenary papers, working group deliberations, and a final session in which findings were synthesized by the conference co‐chairmen and presented to conference participants for final review. Major conclusions included: (1) The importance of linking geriatric evaluation with care management in future studies; (2) The need for multi‐center trials of inpatient units to establish efficacy; (3) The importance of studying criteria for targeting GEM care on patients who are most likely to benefit; (4) The need for further developmental studies of outpatient GEM clinics; (5) The importance of assessing a range of outcomes including mortality, patient function, satisfaction, caregiver burden, and cost; and (6) The need to define more carefully the nature of the intervention that is being studied to aid in comparing and extrapolating findings. The following research priorities for GEMS were formulated based on the conference: (1) Within the VA health care system, a multi‐site randomized trial of inpatient GEM units should be initiated; (2) Multi‐site studies of inpatient GEM units and consultation teams linked to outpatient care should be initiated in non‐VA settings; (3) Studies should identify the components of GEM that are most critical to outcome; (4) Studies should explore efficacy of GEM in settings that have not been well studied to date such as nursing homes; and (5) Studies are needed to test screening methods and targeting criteria for GEM in all settings. 1991 The American Geriatrics Society
AB - In this paper, we present the consensus statement from a national conference on research priorities and methodologies for studying geriatric evaluation and management (GEM) programs. These conclusions, discussion points, and recommendations resulted from discussions of plenary papers, working group deliberations, and a final session in which findings were synthesized by the conference co‐chairmen and presented to conference participants for final review. Major conclusions included: (1) The importance of linking geriatric evaluation with care management in future studies; (2) The need for multi‐center trials of inpatient units to establish efficacy; (3) The importance of studying criteria for targeting GEM care on patients who are most likely to benefit; (4) The need for further developmental studies of outpatient GEM clinics; (5) The importance of assessing a range of outcomes including mortality, patient function, satisfaction, caregiver burden, and cost; and (6) The need to define more carefully the nature of the intervention that is being studied to aid in comparing and extrapolating findings. The following research priorities for GEMS were formulated based on the conference: (1) Within the VA health care system, a multi‐site randomized trial of inpatient GEM units should be initiated; (2) Multi‐site studies of inpatient GEM units and consultation teams linked to outpatient care should be initiated in non‐VA settings; (3) Studies should identify the components of GEM that are most critical to outcome; (4) Studies should explore efficacy of GEM in settings that have not been well studied to date such as nursing homes; and (5) Studies are needed to test screening methods and targeting criteria for GEM in all settings. 1991 The American Geriatrics Society
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U2 - 10.1111/j.1532-5415.1991.tb05936.x
DO - 10.1111/j.1532-5415.1991.tb05936.x
M3 - Article
C2 - 1885880
AN - SCOPUS:0025949615
SN - 0002-8614
VL - 39
SP - 53S-57S
JO - Journal of the American Geriatrics Society
JF - Journal of the American Geriatrics Society
IS - 1 S
ER -