What do we know about patient targeting in geriatric evaluation and management (GEM) programs?


Journal Article (Review)

Evidence indicates that institution-based programs for interdisciplinary geriatric evaluation and management (GEMs) improve outcomes of care, but results vary considerably between studies. Targeting (i.e., selective admission of frail elderly patient subgroups who are thought particularly to benefit) has been advocated as a means to improve the cost-effectiveness of GEM programs, and results from meta-analysis give this concept some support. Our review has several objectives: 1) describing approaches to GEM targeting and development of selection criteria; 2) assessing evidence from randomized trials concerning effects of targeting on outcome; and 3) suggesting an agenda for further research and development on GEM targeting.

Full Text

Cited Authors

  • Wieland, D; Rubenstein, LZ

Published Date

  • October 1996

Published In

Volume / Issue

  • 8 / 5

Start / End Page

  • 297 - 310

PubMed ID

  • 8959231

Pubmed Central ID

  • 8959231

International Standard Serial Number (ISSN)

  • 0394-9532

Digital Object Identifier (DOI)

  • 10.1007/bf03339586


  • eng