[Evolution and current tools of multidimensional assessment in Italy]

Area of Science:

• Gerontology
• Public Health
• Epidemiology

Context:

• Multidimensional evaluation is crucial for assessing elderly health, encompassing medical, psychosocial, economic, and functional aspects.
• This comprehensive approach, widely adopted in Anglo-Saxon countries, is increasingly prevalent in Italy.
• The study investigates the implementation of the national 'Progetto Obiettivo Anziani' and the activation of Geriatric Evaluation Units across Italy.

Purpose:

• To assess the extent to which the national project for the elderly population ('Progetto Obiettivo Anziani') has been implemented in Italy.
• To determine if Geriatric Evaluation Units have been established within the framework of this national project.
• To evaluate the structural characteristics, staffing, and tools employed by existing Geriatric Evaluation Units.

Summary:

• The study confirms that multidimensional assessment of the elderly is well-established in Italy.
• However, Geriatric Evaluation Units exhibit significant diversity in terms of staff composition and professional experience.
• The number of elderly individuals assessed appears low, partly because multidimensional assessment is one of several activities undertaken by these units.

Impact:

• The findings highlight the established presence of multidimensional assessment in Italian geriatric care.
• The observed heterogeneity in Geriatric Evaluation Units suggests variability in service delivery and quality.
• The low utilization rate indicates a potential need for greater investment and strategic focus to enhance the impact of these units in geriatric care.