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Community resources for frail older patients

K Borgenicht¹, E Carty, L Z Feigenbaum

¹Department of Medicine, University of California, San Francisco, USA.

The Western Journal of Medicine

|December 31, 1997

Summary

Community-based services aid frail seniors in regaining independence. Identifying specific patient criteria can enhance the effectiveness of geriatric care programs.

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Area of Science:

Gerontology
Public Health
Healthcare Management

Background:

Frail older adults require specialized community-based services to maximize functional ability and independence.
Available services include case management, geriatric assessment, adult day health care, home health services, and the Program for All-inclusive Care for the Elderly (PACE).

Purpose of the Study:

To explore the potential benefits and necessary targeting criteria for community-based services aimed at frail older patients.
To address the uncertainty surrounding the efficacy of these services without established referral guidelines.

Main Methods:

Review of existing community-based service models for frail older adults.
Identification of potential targeting criteria based on patient characteristics and health status.

Main Results:

Key targeting criteria suggested include dependency in activities of daily living, lack of family support, dementia, multiple chronic illnesses, and frequent hospitalizations.
Patients, families, and physicians generally perceive these services as beneficial, despite uncertainties in efficacy and cost-effectiveness.

Conclusions:

Targeting criteria are crucial for optimizing the effectiveness of community-based services for frail older populations.
Further research is needed to definitively establish efficacy and cost-effectiveness, but patient-reported outcomes are positive.

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