Interdisciplinary care for older adults with complex needs: American Geriatrics Society Position Statement

Journal of the American Geriatrics Society

Volumn 54, Issue 5, 2006, Pages 849-852

  Zaharatos, Julie Pestana ^a  

^a Governance and Public Policy   (United States)

Author keywords

[No Author keywords available]

Indexed keywords

GERIATRIC CARE; HEALTH CARE COST; HEALTH CARE DELIVERY; HEALTH CARE NEED; HEALTH CARE PLANNING; HUMAN; INTERDISCIPLINARY RESEARCH; MEDICAL PRACTICE; MEDICAL SOCIETY; REVIEW; AGED; ARTICLE; ELDERLY CARE; GERIATRICS; ORGANIZATION AND MANAGEMENT; PATIENT CARE; UNITED STATES;

AGED; DELIVERY OF HEALTH CARE; GERIATRICS; HEALTH SERVICES FOR THE AGED; HUMANS; PATIENT CARE TEAM; SOCIETIES, MEDICAL; UNITED STATES;

EID: 33744991542     PISSN: 00028614     EISSN: 15325415     Source Type: Journal    
DOI: 10.1111/j.1532-5415.2006.00707.x     Document Type: Review

References (61)

1. The John A. Hartford Foundation, Inc. GITT. Geriatric Interdisciplinary Team Training Program [on-line]. Available at http://www.gitt.org Accessed September 29, 2005.
2. Tempin-Greener H, Gross D, Kunitz S et al. Measuring interdisciplinary team performance in long-term care setting. Med Care 2004;42:472-481.
3. Esperanza A, Miralles R, Rius I et al. Evaluation of functional improvement in older patients with cognitive impairment, depression and/or delirium admitted to a geriatric convalescence hospitalization unit. Arch Gerontol Geriatr Suppl 2004;9:149-153.
4. LaBresh KA, Ellrodt AG, Gliklich R et al. Get with the guidelines for cardiovascular secondary prevention: Pilot results. Arch Intern Med 2004;164:203-209.
5. Oslin DW, Thompson R, Kallan MJ et al. Treatment effects from UPBEAT. A randomized trial of care management for behavioral health problems in hospitalized elderly patients. J Geriatr Psychiatry Neurol 2004;17:99-106.
6. Wells JL, Seabrook JA, Stolee P et al. State of the art in geriatric rehabilitation. Part I. Review of frailty and comprehensive geriatric assessment. Arch Phys Med Rehabil 2003;84:890-897.
7. Stucke AE, Siu AL, Wieland GD et al. Comprehensive geriatric assessment: A meta-analysis of controlled trials. Lancet 1993;342:1032-1036.
8. Wieland D. The effectiveness and costs of comprehensive geriatric evaluation and management. Crit Rev Oncol Hematol 2003;48:227-237.
9. Saltvedt I, Mo ES, Fayers P et al. Reduced mortality in treating acutely sick, frail older patients in a geriatric evaluation and management unit. A prospective randomized trial. J Am Geriatr Soc 2002;50:792-798.
10. Cooper G, Armitage K, Ashar B et al. Design and implementation of an inpatient disease management program. Am J Manag Care 2000;6:793-801.
11. Phillips S, Eskes G, Gubitz G. Queen Elizabeth II Health Sciences Centre Acute Stroke Team. Description and evaluation of an acute stroke unit. Can Med Assoc J 2002;167:655-660.
12. Seemann S. Interdisciplinary approach to a total knee replacement program. Nurs Clin North Am 2000;35:405-415.
13. Sulch D, Kalra L. Integrated care pathways in stroke management. Age Ageing 2000;29:349-352.
14. Young W, Rewa G, Goodman SG et al. Evaluation of a community-based inner-city disease management program for postmyocardial infarction patients: A randomized controlled trial. Can Med Assoc J 2003;169:905-910.
15. Caplan GA, Williams AJ, Daly B et al. A randomized, controlled trial of comprehensive geriatric assessment and multidisciplinary intervention after discharge of elderly from the emergency department - the DEED II study. J Am Geriatr Soc 2004;52:1417-1423.
16. Farris KB, Cote I, Feeny D et al. Enhancing primary care for complex patients. Demonstration project using multidisciplinary teams. Can Fam Physician 2004;50:998-1003.
17. Schmader KE, Hanlon JT, Pieper CF et al. Effects of geriatric evaluation and management on adverse drug reactions and suboptimal prescribing in the frail elderly. Am J Med 2004;116:394-401.
18. Eng C, Pedulla J, Eleazer GP et al. Program of All-inclusive Care for the Elderly (PACE): An innovative model of integrated geriatric care and financing. J Am Geriatr Soc 1997;45:223-232.
19. Pacala JT, Kane RL, Atherly AJ et al. Using structured implicit review to assess quality of care in the Program of All-inclusive Care for the Elderly (PACE). J Am Geriatr Soc 2000;48:903-910.
20. Mukamel DB, Peterson DR, Bajorska A et al. Variations in risk-adjusted outcomes in a managed acute/long-term care program for frail elderly individuals. Int J Qual Health Care 2004;16:293-301.
21. Wolff JL, Starfield B, Anderson G. Prevalence, expenditures, and complications of multiple chronic conditions in the elderly. JAMA 2002;162:2269-2276.
22. Alliance for Aging Research. Medical Never-Never Land: Ten Reasons Why America Is Not Ready for the Coming Age Boom [on-line]. Available at www.agingresearch.org/advocacy/geriatrics/02016_aar_geriatrics_text.pdf Accessed September 29, 2005.
23. Rubenstein LZ, Josephson KR, Wieland GD et al. Effectiveness of a Geriatric Evaluation Unit: A randomized clinical trial. N Engl J Med 1984;311:1664-1670.
24. Applegate WB, Miller ST, Graney MJ et al. A randomized controlled trial of a geriatric assessment unit in a community rehabilitation hospital. N Engl J Med 1990;322:1572-1578.
25. Landefeld CS, Palmer RM, Kresevic DM et al. A randomized trial of care in a hospital medical unit especially designed to improve the functional outcomes of acutely ill older patients. N Engl J Med 1995;332:1338-1344.
26. Cohen HJ, Feussner JR, Weinberger M et al. A controlled trial of inpatient and outpatient geriatric evaluation and management. N Engl J Med 2002;346:905-912.
27. Williamson JD. Improving care management and health outcomes for frail older people: Implications of the PACE model. J Am Geriatr Soc 2000;48:1529-1530.
28. Inouye SK, Bogardus ST, Charpentier PA et al. A multicomponent intervention to prevent delirium in hospitalized older patients. N Engl J Med 1999;340:669-676.
29. Milisen K, Foreman MD, Abraham IL et al. A nurse-led interdisciplinary intervention program for delirium in elderly hip-fracture patients. J Am Geriatr Soc 2001;49:523-532.
30. American Geriatrics Society, British Geriatrics Society, and American Academy of Orthopaedic Surgeons and Panel on Falls Prevention. Guideline for the prevention of falls in older persons. J Am Geriatr Soc 2001;9:664-672.
31. Tinetti ME, Baker DI, McAvay G et al. A multifactorial intervention to reduce the risk of falling among elderly people living in the community. N Engl J Med 1996;144:389-399.
32. Resnick B, Quinn C, Baxter S. Testing the effectiveness of a clinical practice guideline in long term care. J Am Med Dir Assoc 2004;5:1-9.
33. Resnick B, Quinn C, Simpson M et al. Clinical outcomes following implementation of a Clinical Practice Guideline in Long Term Care. Long Term Care Interface 2004;3:7-11.
34. Resnick B, Simpson M. Implementing the Falls Clinical Practice Guideline in long-term care: An exemplary model. Director 2004;12:76-81.
35. Tinetti ME. Preventing falls in elderly persons. N Engl J Med 2003;348:42-49.
36. Andrews BC, Kaye J, Bowcutt M et al. Redesigning geriatric healthcare: How cross-functional teams and process improvement provide a competitive advantage. Health Mark Q 2001;19:33-48.
37. Williams ME, Pulliam CC, Hunter R et al. The short-term effect of interdisciplinary medication review on function and cost in ambulatory elderly people. J Am Geriatr Soc 2004;52:93-98.
38. Trentini M, Semeraro S, Motta M. Italian Study Group of Geriatric Assessment and Management. Effectiveness of geriatric evaluation and care. One-year results of a multicenter randomized clinical trial. Aging 2001;13:395-405.
39. Wieland D, Lamb VL, Sutton SR et al. Hospitalization in the Program of All-inclusive Care for the Elderly (PACE): Rates, concomitants, and predictors. J Am Geriatr Soc 2000;48:1373-1380.
40. Harris RD, Henschk PJ, Popplewell PU et al. A randomized study of outcomes in a defined group of acutely ill elderly managed in a geriatric assessment unit or a general medical unit. Aust N Z J Med 1991;21:783-784.
41. Rubenstein LZ, Josephson KR, Wieland BD et al. Effectiveness of a geriatric evaluation unit: A randomized clinical trial. N Engl J Med 1984;311:1664-1770.
42. Stucke AE, Aronow HU, Stein A et al. A trial of annual in-home comprehensive geriatric assessments for elderly people living in the community. N Engl J Med 1995;333:1184-1189.
43. Nikolaus T, Specht-Leible N, Bach M et al. A randomized trial of comprehensive geriatric assessment and home into the care of hospitalized patients. Age Aging 1999;28:543-550.
44. Asplund K, Gustafson Y, Jacobsson C et al. Geriatric-based versus general wards for older acute medical patients: A randomized comparison of outcomes and use of resources. J Am Geriatr Soc 2000;48:1381-1388.
45. Phillips SJ, Eskes GA, Gubitz GJ. Description and evaluation of an acute stroke unit. Can Med Assoc J 2002;167:649-650.
46. McDonald K, Ledwidege M, Cahill J et al. Heart failure: Multidisciplinary care has intrinsic benefit at optimization of medical care. J Card Fail 2002;8:142-148.
47. Ledwidge M, Barrm M, Cahill J et al. Is multidisciplinary care of heart failure cost-beneficial when combined with optimal medical care? Eur J Heart Fail 2003;593:381-389.
48. Burns R, Nichols LO, Martindale-Adams J et al. Interdisciplinary geriatric primary care evaluation and management: Two outcomes. J Am Geriatr Soc 2000;48:8-13.
49. Boult C, Boult LB, Morishita L et al. A randomized clinical trial of outpatient geriatric evaluation and management. J Am Geriatr Soc 2001;49:351-359.
50. Parker MJ. 11-year results in 2,846 patients of the Peterborough Hip Fracture Project: Reduced mortality, morbidity and hospital stay. Acta Orthop Scand 2000;71:34-38.
51. Graul TL. Total joint replacement. Baseline benchmark data for interdisciplinary are and management. Orthop Nurs 2002;21:57-64.
52. Silliman RA, McGarvey ST, Raymong PM et al. The Senior Care Study. Does inpatient interdisciplinary geriatric assessment help family caregivers of acutely ill older patients. J Am Geriatr Soc 1990;38:1163.
53. Health Professions Education: A Bridge to Quality. Committee on the Health Professions Education Summit. Board of Health Care Services [on-line]. Available at http://books.nap.edu/books/0309087236/html/ Accessed September 29, 2005.
54. Counsell SR, Kennedy RD, Szwabo P et al. Curriculum recommendations for resident training in geriatrics interdisciplinary team care. J Am Geriatr Soc 1999;47:1145-1148.
55. Cooper H, Carlisle C, Gibbs T et al. Developing an evidence base for interdisciplinary learning: A systemic review. J Adv Nurs 2001;35:228-237.
56. Thomas DC, Leipzig RM, Smith LG et al. Improving geriatrics training in internal medicine residency programs: Best practices and sustainable solutions. Ann Intern Med 2003;139:628-634.
57. Parsell G, Bligh J. Educational principles underpinning successful shared learning. Med Teach 1998;20:522-529.
58. Harden RM. AMEE guide no. 12: Multiprofessional education: Part 1 - effective multiprofessional education: A three-dimensional perspective. Med Teach 1998;20:402-408.
59. Pirrie A, Wilson V, Harden RM et al. AMEE Guide no. 12: Multiprofessional education: Part 2 - promoting cohesive practice in health care. Med Teach 1998;20:409-416.
60. Keough ME, Field TS, Gurwitz JH. A model of community-based interdisciplinary team training in the care of the frail elderly. Acad Med 2002;77:936.
61. Great Lakes Geriatric Interdisciplinary Team Training [on-line]. Available at http://gitt.cwru.edu Accessed September 29, 2005.