The art and science of targeting geriatrics programs.

D Wieland
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引用次数: 6

Abstract

"Targeting" in geriatrics is the selection from a wider screened group of frail elderly patients for specific geriatrics programs designed to meet their particular multidimensional health needs. Targeting has been advocated as a means of improving the overall cost-effectiveness of health services for elderly people, both through improvement of the measurable health outcomes in patients served, and limiting futile/inappropriate care (both in patients admitted, and in others by virtue of their exclusion) which adds cost but does not improve health or quality of life. While research supports targeting for improving health outcomes, work to improve targeting practices and criteria is somewhat underdeveloped. These issues are discussed in reference to the contribution of Karppi and Tilvis (1) and other current literature.

瞄准老年医学项目的艺术和科学。
老年病学中的“目标”是从更广泛筛选的体弱老年患者群体中选择特定的老年病学方案,以满足他们特定的多维健康需求。一直提倡将目标明确作为提高老年人保健服务总体成本效益的一种手段,既可以改善所服务患者的可衡量的健康结果,也可以限制无用/不适当的护理(包括住院患者和因其被排除在外的其他患者),这增加了成本,但不能改善健康或生活质量。虽然研究支持为改善健康结果而确定目标,但改进目标做法和标准的工作有些不发达。参考Karppi和Tilvis(1)的贡献以及其他当前文献对这些问题进行了讨论。
本文章由计算机程序翻译,如有差异,请以英文原文为准。
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