Delivering patient-centered care: outcomes of comprehensive geriatric assessment across healthcare settings
Autor(a) principal: | |
---|---|
Data de Publicação: | 2022 |
Outros Autores: | , , |
Tipo de documento: | Artigo |
Idioma: | eng |
Título da fonte: | Geriatrics, Gerontology and Aging (Online) |
Texto Completo: | https://ggaging.com/details/1754 |
Resumo: | <p>Comprehensive geriatric assessment (CGA) is a systematic multidimensional and interdisciplinary evaluation that enables clinicians to recognize age-related impairments and develop a coordinated treatment plan and follow-up suited to the patient’s needs. Considering the growing number of older persons requiring care in health systems everywhere and the importance of shifting from a disease-specific care model to a more comprehensive care model, we aimed to present the benefits of CGA for older people in different healthcare settings using a narrative review. This patient-centered model of care has been associated with lower hospital (re)admission, maintenance of function, improved quality of life, less caregiver burden, and higher patient satisfaction with the care provided across different healthcare settings. In some contexts — for example, hospitalized older people —, CGA has already been established as the standard model of care as it was consistently related to reduced mortality. Consistent findings from specific contexts (eg, oncology, orthopaedics) also show the importance of CGA in aiding clinicians make better decisions for older patients. It is noteworthy that further evidence from cost-effectiveness studies is still warranted, particularly in community settings. Another encouraging topic for future research is the role of technology in disseminating CGA-based models of care.</p> |
id |
SBGG_a3ffc9e52ac2f5f53e55bebdfa355f95 |
---|---|
oai_identifier_str |
oai:ggaging.com:1754 |
network_acronym_str |
SBGG |
network_name_str |
Geriatrics, Gerontology and Aging (Online) |
repository_id_str |
|
spelling |
Delivering patient-centered care: outcomes of comprehensive geriatric assessment across healthcare settingsgeriatric assessment integrated care efficacy aged.<p>Comprehensive geriatric assessment (CGA) is a systematic multidimensional and interdisciplinary evaluation that enables clinicians to recognize age-related impairments and develop a coordinated treatment plan and follow-up suited to the patient’s needs. Considering the growing number of older persons requiring care in health systems everywhere and the importance of shifting from a disease-specific care model to a more comprehensive care model, we aimed to present the benefits of CGA for older people in different healthcare settings using a narrative review. This patient-centered model of care has been associated with lower hospital (re)admission, maintenance of function, improved quality of life, less caregiver burden, and higher patient satisfaction with the care provided across different healthcare settings. In some contexts — for example, hospitalized older people —, CGA has already been established as the standard model of care as it was consistently related to reduced mortality. Consistent findings from specific contexts (eg, oncology, orthopaedics) also show the importance of CGA in aiding clinicians make better decisions for older patients. It is noteworthy that further evidence from cost-effectiveness studies is still warranted, particularly in community settings. Another encouraging topic for future research is the role of technology in disseminating CGA-based models of care.</p>Sociedade Brasileira de Geriatria e Gerontologia2022-01-01info:eu-repo/semantics/articleinfo:eu-repo/semantics/publishedVersiontext/htmlhttps://ggaging.com/details/1754Geriatrics, Gerontology and Aging v.16 n.0 2022reponame:Geriatrics, Gerontology and Aging (Online)instname:Sociedade Brasileira de Geriatria e Gerontologiainstacron:SBGG10.53886/gga.e0220031info:eu-repo/semantics/openAccess Roma,Maria Fernanda Bottino Garção,Natália Ivanovna Bernasovskaya Covinsky,Kenneth E. Aliberti,Márlon Juliano Romeroeng2022-01-01T00:00:00Zoai:ggaging.com:1754Revistahttp://sbgg.org.br/publicacoes-cientificas/revista-geriatria-gerontologia/ONGhttps://old.scielo.br/oai/scielo-oai.phpexecutiveditors@ggaging.com||nacional@sbgg.org.br2447-21232447-2115opendoar:2022-01-01T00:00Geriatrics, Gerontology and Aging (Online) - Sociedade Brasileira de Geriatria e Gerontologiafalse |
dc.title.none.fl_str_mv |
Delivering patient-centered care: outcomes of comprehensive geriatric assessment across healthcare settings |
title |
Delivering patient-centered care: outcomes of comprehensive geriatric assessment across healthcare settings |
spellingShingle |
Delivering patient-centered care: outcomes of comprehensive geriatric assessment across healthcare settings Roma,Maria Fernanda Bottino geriatric assessment integrated care efficacy aged. |
title_short |
Delivering patient-centered care: outcomes of comprehensive geriatric assessment across healthcare settings |
title_full |
Delivering patient-centered care: outcomes of comprehensive geriatric assessment across healthcare settings |
title_fullStr |
Delivering patient-centered care: outcomes of comprehensive geriatric assessment across healthcare settings |
title_full_unstemmed |
Delivering patient-centered care: outcomes of comprehensive geriatric assessment across healthcare settings |
title_sort |
Delivering patient-centered care: outcomes of comprehensive geriatric assessment across healthcare settings |
author |
Roma,Maria Fernanda Bottino |
author_facet |
Roma,Maria Fernanda Bottino Garção,Natália Ivanovna Bernasovskaya Covinsky,Kenneth E. Aliberti,Márlon Juliano Romero |
author_role |
author |
author2 |
Garção,Natália Ivanovna Bernasovskaya Covinsky,Kenneth E. Aliberti,Márlon Juliano Romero |
author2_role |
author author author |
dc.contributor.author.fl_str_mv |
Roma,Maria Fernanda Bottino Garção,Natália Ivanovna Bernasovskaya Covinsky,Kenneth E. Aliberti,Márlon Juliano Romero |
dc.subject.por.fl_str_mv |
geriatric assessment integrated care efficacy aged. |
topic |
geriatric assessment integrated care efficacy aged. |
description |
<p>Comprehensive geriatric assessment (CGA) is a systematic multidimensional and interdisciplinary evaluation that enables clinicians to recognize age-related impairments and develop a coordinated treatment plan and follow-up suited to the patient’s needs. Considering the growing number of older persons requiring care in health systems everywhere and the importance of shifting from a disease-specific care model to a more comprehensive care model, we aimed to present the benefits of CGA for older people in different healthcare settings using a narrative review. This patient-centered model of care has been associated with lower hospital (re)admission, maintenance of function, improved quality of life, less caregiver burden, and higher patient satisfaction with the care provided across different healthcare settings. In some contexts — for example, hospitalized older people —, CGA has already been established as the standard model of care as it was consistently related to reduced mortality. Consistent findings from specific contexts (eg, oncology, orthopaedics) also show the importance of CGA in aiding clinicians make better decisions for older patients. It is noteworthy that further evidence from cost-effectiveness studies is still warranted, particularly in community settings. Another encouraging topic for future research is the role of technology in disseminating CGA-based models of care.</p> |
publishDate |
2022 |
dc.date.none.fl_str_mv |
2022-01-01 |
dc.type.driver.fl_str_mv |
info:eu-repo/semantics/article |
dc.type.status.fl_str_mv |
info:eu-repo/semantics/publishedVersion |
format |
article |
status_str |
publishedVersion |
dc.identifier.uri.fl_str_mv |
https://ggaging.com/details/1754 |
url |
https://ggaging.com/details/1754 |
dc.language.iso.fl_str_mv |
eng |
language |
eng |
dc.relation.none.fl_str_mv |
10.53886/gga.e0220031 |
dc.rights.driver.fl_str_mv |
info:eu-repo/semantics/openAccess |
eu_rights_str_mv |
openAccess |
dc.format.none.fl_str_mv |
text/html |
dc.publisher.none.fl_str_mv |
Sociedade Brasileira de Geriatria e Gerontologia |
publisher.none.fl_str_mv |
Sociedade Brasileira de Geriatria e Gerontologia |
dc.source.none.fl_str_mv |
Geriatrics, Gerontology and Aging v.16 n.0 2022 reponame:Geriatrics, Gerontology and Aging (Online) instname:Sociedade Brasileira de Geriatria e Gerontologia instacron:SBGG |
instname_str |
Sociedade Brasileira de Geriatria e Gerontologia |
instacron_str |
SBGG |
institution |
SBGG |
reponame_str |
Geriatrics, Gerontology and Aging (Online) |
collection |
Geriatrics, Gerontology and Aging (Online) |
repository.name.fl_str_mv |
Geriatrics, Gerontology and Aging (Online) - Sociedade Brasileira de Geriatria e Gerontologia |
repository.mail.fl_str_mv |
executiveditors@ggaging.com||nacional@sbgg.org.br |
_version_ |
1797174503011254272 |