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Predicate | Object |
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rdf:type | |
lifeskim:mentions | |
pubmed:issue |
4
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pubmed:dateCreated |
1990-2-7
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pubmed:abstractText |
Previous studies have shown that comprehensive geriatric assessment and follow-up can improve the health of hospitalized elderly patients. To evaluate the effectiveness of consultative geriatric assessment and limited follow-up for ambulatory patients, we randomized 600 elderly patients who were enrolled in a health maintenance organization into three groups: (1) consultation by a geriatric assessment team, (2) consultation by a "second opinion" internist, and (3) only traditional health maintenance organization services (control patients). The geriatric assessment team identified previously unrecognized problems in 35% of patients and advised changes in medication regimens for more than 40%. Nevertheless, patients who received assessment achieved only a small benefit in cognitive function after 3 months, which was not sustained for 1 year. There was no difference among groups in other measures of health status. Consultative geriatric assessment with limited follow-up did not benefit most older ambulatory patients in a health maintenance organization; if such care can be used effectively for ambulatory patients, it will require either additional targeting or continuing care or both.
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pubmed:commentsCorrections | |
pubmed:language |
eng
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pubmed:journal | |
pubmed:citationSubset |
AIM
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pubmed:status |
MEDLINE
|
pubmed:month |
Jan
|
pubmed:issn |
0098-7484
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pubmed:author | |
pubmed:issnType |
Print
|
pubmed:day |
26
|
pubmed:volume |
263
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pubmed:owner |
NLM
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pubmed:authorsComplete |
N
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pubmed:pagination |
538-44
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pubmed:dateRevised |
2006-11-15
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pubmed:meshHeading |
pubmed-meshheading:2294326-Aged,
pubmed-meshheading:2294326-Aged, 80 and over,
pubmed-meshheading:2294326-Ambulatory Care,
pubmed-meshheading:2294326-Consumer Satisfaction,
pubmed-meshheading:2294326-Costs and Cost Analysis,
pubmed-meshheading:2294326-Geriatric Assessment,
pubmed-meshheading:2294326-Health Maintenance Organizations,
pubmed-meshheading:2294326-Health Status,
pubmed-meshheading:2294326-Humans,
pubmed-meshheading:2294326-Internal Medicine,
pubmed-meshheading:2294326-Outcome and Process Assessment (Health Care),
pubmed-meshheading:2294326-Random Allocation,
pubmed-meshheading:2294326-Referral and Consultation,
pubmed-meshheading:2294326-Rhode Island
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pubmed:year |
1990
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pubmed:articleTitle |
Consultative geriatric assessment for ambulatory patients. A randomized trial in a health maintenance organization.
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pubmed:affiliation |
Department of Medicine, Brigham and Women's Hospital, Boston, Mass.
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pubmed:publicationType |
Journal Article,
Clinical Trial,
Research Support, U.S. Gov't, P.H.S.,
Randomized Controlled Trial,
Research Support, Non-U.S. Gov't
|