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The Gerontologist, Vol 38, Issue 3 303-308, Copyright © 1998 by The Gerontological Society of America
ARTICLES |
L Morishita, C Boult, L Boult, S Smith and JT Pacala
Department of Family Practice and Community Health, University of Minnesota Medical School, Minneapolis 55414-3034, USA. [email protected]
The purpose of this study was to evaluate high-risk older adults' satisfaction with outpatient geriatric evaluation and management (GEM). Community-dwelling Medicare beneficiaries (n = 522) age 70 years and older who had a high probability of repeated admission to hospitals (Pra > .40) were randomly assigned to receive either usual care or GEM for six months. Despite the stresses imposed by outpatient GEM (e.g., new relationships with providers, frequent office visits and changes in treatments), the mean satisfaction scores of the recipients of GEM were 9% higher than those of the recipients of usual care (4.31 vs 3.96, p < .001). The primary physicians of GEM recipients were also highly satisfied with GEM care.
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