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Intermediate care--a good thing?

A Steiner1

  • 1University of Southampton, Department of Geriatric Medicine, Southampton General Hospital, Tremona Road, Southampton SO16 6YD, UK. steiner@cats.ucsc.edu

Age and Ageing
|August 21, 2001
PubMed
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Intermediate care services, including geriatric assessment and early discharge, are vital but often lack robust evidence of effectiveness. Further research is needed to support these essential healthcare models.

Area of Science:

  • Gerontology
  • Health Services Research
  • Geriatric Medicine

Background:

  • Intermediate care is proposed as a necessary healthcare service.
  • Existing evidence for intermediate care effectiveness is reviewed.
  • Focus includes comprehensive geriatric assessment, admission avoidance, nurse-led units, and early discharge.

Purpose of the Study:

  • To develop and define the concept of intermediate care.
  • To summarize the evidence on the effectiveness of intermediate care services.
  • To discuss implications for practice and research.

Main Methods:

  • Literature review and synthesis of evidence on intermediate care.
  • Focus on specific intermediate care interventions.
  • Conceptual development and definition of intermediate care.

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Main Results:

  • Comprehensive geriatric assessment shows some positive evidence.
  • Evidence for other intermediate care services (e.g., admission avoidance, nurse-led units, early discharge) is often lacking, inconclusive, or negative.
  • The necessity of intermediate care is asserted, despite evidence gaps.

Conclusions:

  • Intermediate care is considered a necessary component of healthcare.
  • Significant gaps exist in the evidence base for many intermediate care services.
  • Further research is crucial to validate and optimize intermediate care practices.