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Admission criteria in short-term geriatric assessment units: a Delphi study
Charo Rodríguez1, Marie-Jeanne Kergoat, Judith Latour
1McGill University, Faculty of Medicine, Department of Family Medicine, Area of Health Services and Policy Research, 515-517, Pine Avenue, Room 10, Montreal (Quebec) H2W 1S4. charo.rodriguez@mcgill.ca
Background:
In recent years, short-term geriatric care units that operate using an interdisciplinary approach have been established in Quebec and elsewhere, in order to provide frail elderly persons with better health care. The purpose of this study is to determine criteria that target the greatest number of individuals most likely to benefit from hospitalization in this type of care unit.
Methods:
A Delphi survey was conducted. The panel of experts consisted of 54 physicians and nurses working in short-term geriatric care units in Quebec. Three questionnaires were mailed and 4-level Likert scales were used. Median values, and 25th and 75th percentiles to a maximum of 2, were chosen a priori as the definition of consensus.
Results:
The survey used 14 inclusion criteria and 17 exclusion criteria. Inclusion criteria were divided into two categories and exclusion criteria were divided into four.
Interpretation:
A typical clinical profile of a patient who should be admitted to a STGCU emerges: an elderly person presenting multiple pathologies, acute or sub-acute functional disability, and often related psychosocial problems. The instrument developed by this project is a practical guide for professionals in STGAUs as well as those responsible for allocating resources in the health care system.