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Evolution of a geriatric evaluation clinic.

J T Moore, G A Warshaw, L D Walden

    Journal of the American Geriatrics Society
    |December 1, 1984
    PubMed
    Summary
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    Geriatric evaluation units are growing, but their impact on elderly healthcare needs further study. This audit of a university clinic reveals varied patient needs and diagnoses, highlighting the complexity of geriatric care.

    Area of Science:

    • Geriatrics
    • Healthcare Management
    • Clinical Auditing

    Background:

    • Multidisciplinary geriatric evaluation units are increasingly established in hospitals and outpatient settings.
    • These units aim to provide comprehensive care for elderly patients.

    Purpose of the Study:

    • To audit patient data from a university-based geriatric outpatient evaluation unit.
    • To investigate the relationships between clinic staffing, referral types, and operational aspects.
    • To analyze presenting problems and diagnoses in geriatric patients.

    Main Methods:

    • Chart audit of 332 patients seen between 1978 and 1982.
    • Analysis of referral sources and presenting problems.
    • Examination of diagnoses made by clinicians.

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    Main Results:

    • The proportion of medical problems increased over the study period.
    • Presenting problems varied significantly by referral source (e.g., family/self vs. physician/agency).
    • Medical clinicians frequently diagnosed psychiatric issues (86% of patients evaluated).

    Conclusions:

    • Geriatric outpatient units see diverse patient needs, often beyond initial presenting problems.
    • The contribution of these clinics to the overall healthcare of the elderly requires further investigation.
    • Understanding referral patterns and diagnostic practices is crucial for optimizing geriatric care.