Outpatient geriatric assessment: associations between referral sources and assessment findings
| Autor: | E. Gordon Margolin, John M. Heath, Celia A. Kamps, William D. Grant |
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| Rok vydání: | 1991 |
| Předmět: |
Referral sources
Male medicine.medical_specialty Referral New York Patient referral Ambulatory Care Medicine Dementia Humans Family Community Health Services Medical diagnosis Psychiatry Physician's Role Geriatric Assessment Referral and Consultation Aged Aged 80 and over Social work business.industry Geriatric assessment Middle Aged medicine.disease Evaluation Studies as Topic Family medicine Female Geriatrics and Gerontology business Nursing homes |
| Zdroj: | Journal of the American Geriatrics Society. 39(3) |
| ISSN: | 0002-8614 |
| Popis: | A review of 431 outpatient geriatric assessments conducted over 2 years examined the associations of referral problems, assessment diagnoses, and therapeutic recommendations with the source of patient referral, as well as that referral source's diagnostic accuracy in identifying the referral problems. Families referred 52% of patients, primarily for problems of memory and behavior, whereas social service agencies made 32.9% of all referrals, primarily for bladder control problems or safety-related concerns. Physicians made only 6% of referrals in this setting. Referral source was found not to be associated with any of the seven categories of medical diagnoses resulting from the assessment process and was associated with only two of the functional diagnostic categories. Therapeutic recommendations were also broadly distributed among referral sources, though social service agencies did refer more patients who required urgent nursing home placement, financial representation, or adult protective service involvement. The performance of family referral sources in accurately referring patients with dementia and psychiatric impairment was comparable to that of physicians, though all referral sources frequently missed patients with incontinence. Non-physician referral sources appear to serve as important and quite valid case-finders for outpatient geriatric assessment. |
| Databáze: | OpenAIRE |
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