The Process of Care in Preventive In‐Home Comprehensive Geriatric Assessment

OBJECTIVES: To describe the process of care of a program of in‐home comprehensive geriatric assessment (CGA) and to determine: (1) if there are major findings in all domains of CGA (medical, functional, mental health, and social/ environmental), (2) if there is a continued clinical yield when CGA is repeated annually, and (3) factors that affect patient adherence with recommendations from CGA.

[1]  A. Master,et al.  Tables of average weight and height of Americans aged 65 to 94 years: relationship of weight and height to survival. , 1960, Journal of the American Medical Association.

[2]  R. Kahn,et al.  Brief objective measures for the determination of mental status in the aged. , 1960, The American journal of psychiatry.

[3]  M P Lawton,et al.  A research and service oriented multilevel assessment instrument. , 1982, Journal of gerontology.

[4]  C. Hendriksen,et al.  Consequences of assessment and intervention among elderly people: a three year randomised controlled trial. , 1984, British medical journal.

[5]  C. Victor,et al.  Effect of health visitors working with elderly patients in general practice: a randomised controlled trial. , 1984 .

[6]  M. Tinetti Performance‐Oriented Assessment of Mobility Problems in Elderly Patients , 1986, Journal of the American Geriatrics Society.

[7]  J. Yesavage,et al.  Geriatric Depression Scale (GDS): Recent evidence and development of a shorter version. , 1986 .

[8]  M. Tinetti,et al.  A simple procedure for general screening for functional disability in elderly patients. , 1990, Annals of internal medicine.

[9]  P. Pearson,et al.  Screening elderly people in primary care: a randomized controlled trial. , 1990, The British journal of general practice : the journal of the Royal College of General Practitioners.

[10]  K. Atchison,et al.  Development of the Geriatric Oral Health Assessment Index. , 1990, Journal of dental education.

[11]  E. Pfeiffer,et al.  Comprehensive geriatric assessment. , 1991, Southern medical journal.

[12]  G. Gutman,et al.  Randomized Trial of a Health Promotion Program For Frail Elders , 1992, Canadian Journal on Aging / La Revue canadienne du vieillissement.

[13]  A. Bayer,et al.  Randomised trial of case finding and surveillance of elderly people at home , 1992, The Lancet.

[14]  J. Elder,et al.  Compliance with a 12-month assessment in an elderly cohort participating in a preventive intervention study: the San Diego Medicare Preventive Health Project. , 1992, International journal of epidemiology.

[15]  M. Schroll,et al.  Geriatric follow-up by home visits after discharge from hospital: a randomized controlled trial. , 1992, Age and ageing.

[16]  L. Rubenstein,et al.  Comprehensive geriatric assessment: a meta-analysis of controlled trials , 1993, The Lancet.

[17]  L. Rubenstein,et al.  A home-based geriatric assessment, follow-up and health promotion program: Design, methods, and baseline findings from a 3-year randomized clinical trial , 1994, Aging.

[18]  R. Burns,et al.  Beyond the Black Box of Comprehensive Geriatric Assessment , 1994, Journal of the American Geriatrics Society.

[19]  J Ramsdell,et al.  Compliance with social and safety recommendations in an outpatient comprehensive geriatric assessment program. , 1994, Journal of gerontology.

[20]  Myrna Silverman,et al.  Geriatric assessment: Inside the black box , 1994 .

[21]  L. Rubenstein,et al.  Inappropriate medication use in community-residing older persons. , 1994, Archives of internal medicine.

[22]  R. Hays,et al.  Predictors of patient refusal to participate in ambulatory-based comprehensive geriatric assessment. , 1994, Journal of gerontology.

[23]  L. Rubenstein,et al.  An In‐Home Preventive Assessment Program for Independent Older Adults: A Randomized Controlled Trial , 1994, Journal of the American Geriatrics Society.

[24]  L. Rubenstein,et al.  Community Physicians' Cooperation with a Program of In‐Home Comprehensive Geriatric Assessment , 1995, Journal of the American Geriatrics Society.

[25]  L. Rubenstein,et al.  A trial of annual in-home comprehensive geriatric assessments for elderly people living in the community. , 1995, The New England journal of medicine.

[26]  R. Hays,et al.  Physician implementation of and patient adherence to recommendations from comprehensive geriatric assessment. , 1996, The American journal of medicine.