Outpatient Geriatric Evaluation and Management: Is There an Investment Effect?

The effectiveness and efficiency of outpatient geriatric evaluation and management (GEM) was compared to usual outpatient primary care (UPC). Although GEM had no overall impact on health care utilization or cost of care for the entire study period, significant reductions were found during the sixtee...

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Bibliographic Details
Published in:The Gerontologist 1997-06, Vol.37 (3), p.324-332
Main Authors: Toseland, Ronald W., O'Donnell, John C., Engelhardt, Joseph B., Richie, Jill, Jue, Donald, Banks, Steve M.
Format: Article
Language:English
Subjects:
Aged
Aged, 80 and over
Ambulatory Care - economics
Ambulatory Care - statistics & numerical data
Comparative studies
Data Interpretation, Statistical
Female
Frail Elderly
Geriatric Assessment
Geriatric evaluation and management
Geriatrics
Health Care Costs
Health Services for the Aged - economics
Health Services for the Aged - statistics & numerical data
Health services utilization
Humans
Interviews as Topic
Male
Middle Aged
Outpatient care facilities
Patient Care Team
Primary care
Primary Health Care
Survival Analysis
Team care
Veterans
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Summary:The effectiveness and efficiency of outpatient geriatric evaluation and management (GEM) was compared to usual outpatient primary care (UPC). Although GEM had no overall impact on health care utilization or cost of care for the entire study period, significant reductions were found during the sixteen- to twenty-four-month study period, suggesting a possible investment effect. In the first eight months of the study, GEM patients incurred 34.8% more in health care costs than UPC patients, but in the final eight months of the study the cost of care for UPC patients exceeded that for GEM patients by 37.8%.
ISSN:0016-9013
1758-5341
DOI:10.1093/geront/37.3.324