Geriatric consultation services-are wards more effective than teams?

BMC Medicine

Susan Kurrle¹  Ian D Cameron¹ 

[1] Curran Chair in Healthcare of Older People, Sydney Medical School Northern, University of Sydney, Hornsby, NSW, Australia

关键词: multidisciplinary assessment;    geriatric consultation;    functional status;    Acute care;   

Others  :  857175
DOI  :  10.1186/1741-7015-11-49

 received in 2013-02-14, accepted in 2013-02-22,  发布年份 2013

【 摘 要 】

Geriatric consultation teams are one of the models for bringing comprehensive geriatric assessment to vulnerable and frail older people in the acute care hospital setting. While ward-based comprehensive geriatric assessment has been established as effective with reference to improving functional status and other outcomes, the team-based variant remains unproven for outcomes other than mortality in the medium term, as shown in a recent study published in BMC Medicine by Deschodt and colleagues. Further research might establish the effectiveness of the team-based model but, for current clinical practice, the emphasis should be on streaming older people with complex problems needing multidisciplinary assessment and treatment to ward-based models of comprehensive geriatric assessment.

【 授权许可】

   
2013 Cameron and Kurrle; licensee BioMed Central Ltd.

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