Long-Term Effects of Outpatient Geriatric Evaluation and Management on Health Care Utilization, Cost, and Survival  

Oleh:

Engelhardt, Joseph B. ; Toseland, Ronald W. ; Gao, Jian ; Banks, Steven

Jenis: Article from Journal - e-Journal
Dalam koleksi: Research on Social Work Practice vol. 16 no. 1 (Jan. 2006), page 20-27.
Topik: assessment; health economics; health care utilization
Fulltext: 20.pdf (97.67KB)

Isi artikel

Purpose: The long-term effectiveness and efficiency of an outpatient geriatric evaluation and management (GEM) program was compared to usual primary care (UPC). Design and Method: A randomized controlled group design was used. Health care utilization, cost of care, and survival were assessed during a 48-month period among a sample of 160 male veterans age 55 and over who were above-average users of outpatient services. Results: The results indicate that GEM patients incurred significantly lower overall health care costs than UPC patients by 24 months and that cost savings plateaued during the 24- to 48-month period. Cost savings were due primarily to fewer hospital days of care. No significant differences were found in survival. Implications: Results of this follow-up study suggest that outpatient GEMoffers a specialized health delivery option for frail older persons that may reduce costs over the long term without having a negative impact on survival rates.

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