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Related Experiment Videos

Senior Team Assessment and Referral Program--STAR

M Fordyce1, D Bardole, L Romer

  • 1Department of Home Care, Kaiser Permanente Medical Center, San Jose, California, USA.

The Journal of the American Board of Family Practice
|January 4, 1998
PubMed
Summary
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The Senior Team Assessment and Referral Program (STAR) efficiently improves health and function in older adults. This minimally staff-intensive model enhances well-being and satisfaction for seniors and physicians.

Area of Science:

  • Geriatric Medicine
  • Health Services Research

Background:

  • Comprehensive geriatric assessment improves outcomes but is often staff-intensive.
  • The Senior Team Assessment and Referral Program (STAR) was developed as a less intensive alternative.
  • STAR utilizes a brief outpatient health appraisal with minimal staff involvement.

Purpose of the Study:

  • To evaluate the effectiveness of the STAR program.
  • To assess health, function, and social status in older adults.
  • To measure the impact on healthcare utilization and satisfaction.

Main Methods:

  • A 3-year study involving 326 participants aged 65+ in the STAR program and a control group of 764 similar individuals.
  • Nurse practitioners conducted annual assessments and provided case management for frail participants.

Related Experiment Videos

  • A medical-functional profile tracked participant status; healthcare utilization, health changes, and satisfaction were measured.

    • Main Results:

    • STAR interventions led to improvements in health, function, and health behaviors, despite short-term increases in medical service utilization.
    • 93% of STAR participants reported a satisfactory experience, with 71% very satisfied.
    • 65% of responding primary care physicians found the STAR assessment useful for patient care.

    Conclusions:

    • STAR provides an efficient, low-staff-intensity model for assessing and managing health in older adults.
    • The program demonstrates significant benefits in improving health, function, and behaviors.
    • High satisfaction rates among participants and physicians suggest STAR's value in healthcare settings.