Comprehensive geriatric assessment—where are we now, where do we need to be in the context of global ageing?

Comprehensive geriatric assessment (CGA) is the cornerstone of modern geriatric medicine and the framework around which conventional and new models of care for older people are developed. Whilst there are a substantial number of reviews synthesising the evidence on patient and service outcomes from...

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Publicado en:Age & Ageing Vol. 52; no. 11; pp. 1 - 4
Autores principales: Naughton, Corina, Galvin, Rose, McCullagh, Ruth, Horgan, Frances
Formato: Artículo
Publicado: Oxford University Press / USA Nov2023
Materias:
Acceso en línea:Ver este registro en EBSCOhost
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      dt: Nov2023
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      pub: Oxford University Press / USA
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        173944384
        10.1093/ageing/afad210
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        atl: Comprehensive geriatric assessment—where are we now, where do we need to be in the context of global ageing?
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        au:
          Naughton, Corina
          Galvin, Rose
          McCullagh, Ruth
          Horgan, Frances
        affil:
          School of Nursing and Midwifery, College of Medicine and Health, University College Cork, College Road , Cork T12 AK54 , Ireland
          School of Allied Health, University of Limerick , Limerick V94 T9PX , Ireland
          School of Clinical Therapies, University College Cork , Nano Nagle Place, Douglas St, Cork T12 X70A , Ireland
          School of Physiotherapy, Royal College of Surgeons in Ireland , 123 St. Stephen's Green, Dublin 2 D02 YN7 7 Ireland
      su:
        Well-being
        Patient satisfaction
        Human services programs
        Aging
        Quality of life
        Geriatric assessment
        Health care teams
        Integrated health care delivery
      sug:
        subj:
          Well-being
          Patient satisfaction
          Human services programs
          Aging
          Quality of life
          Geriatric assessment
          Health care teams
          Integrated health care delivery
      keyword:
        comprehensive geriatric assessment
        intervention
        measurement
        older people
        comprehensive geriatric assessment
        intervention
        measurement
        older people
      ab: Comprehensive geriatric assessment (CGA) is the cornerstone of modern geriatric medicine and the framework around which conventional and new models of care for older people are developed. Whilst there are a substantial number of reviews synthesising the evidence on patient and service outcomes from CGA, as an intervention it remains poorly described. There is a lack of detail on how a CGA plan is coordinated, delivered and followed up, especially outside of acute care. This commentary reflects on the authors' experience of extracting data from 57 published studies on CGA. CGA as an intervention is akin to a 'black box' in terms of describing and measuring participants' interactions with CGA activity in terms of time, frequency and amount (dose) received. There is also a lack of detail on how newly established CGA teams become effective, interdisciplinary, high functioning and sustainable teams. The CGA knowledge-do gap persists with a need to draw from complex system theory and implementation science frameworks to better describe the intervention and understand the influence of the organisation and health service within which CGA is operationalised. Equally, the voice of older people, families and staff is critical in the conduct and evaluation of CGA, and how it evolves as a model to meet the growing needs of ageing populations.
      pubtype: Academic Journal
      doctype: Article
      src: R
    language: English
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