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Interface between geriatric and general medicine.

J C Brocklehurst, N Lane, C Davidson

    Health Trends
    |April 9, 1989
    PubMed
    Summary
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    Geriatric medicine practices in the UK often use age-based admissions, with most consultants reporting

    Area of Science:

    • Geriatric Medicine
    • Healthcare Policy
    • Medical Practice Management

    Background:

    • Geriatric medicine is a crucial specialty addressing the complex health needs of older adults.
    • Understanding current practice patterns is essential for improving geriatric care delivery.
    • The UK's National Health Service (NHS) structure influences healthcare provision across districts.

    Purpose of the Study:

    • To investigate the current practices of consultant physicians in geriatric medicine across United Kingdom health districts.
    • To analyze admission policies and specialist interests within geriatric medicine departments.
    • To identify trends in the organization and delivery of geriatric healthcare services.

    Main Methods:

    • A survey was distributed to 652 consultant physicians in geriatric medicine.

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  • Data represented 203 out of 259 (78%) health districts in the UK.
  • Information gathered included joint appointments, admission criteria, and specialist interests.

    • Main Results:

    • Suitability (58%) and age-related criteria (37%, common cut-off 75 years) were primary admission policies.
    • Integrated services admitting all ages to a common bed pool were rare (5%).
    • 'Pure' geriatrics was the most common practice model, with many consultants having additional specialist interests.

    Conclusions:

    • Geriatric medicine in the UK is characterized by varied admission policies, often age-dependent and influenced by bed availability.
    • A significant proportion of geriatricians engage in 'pure' geriatrics, but many also pursue specialist interests.
    • Integrated geriatric and internal medicine services remain uncommon, suggesting a need for further development in collaborative care models.