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The Gerontologist 40:191-196 (2000)
© 2000 The Gerontological Society of America

Goals in Geriatric Assessment

Are We Measuring the Right Outcomes?

Elizabeth H. Bradley, PhDa, Sidney T. Bogardus, Jr., MDb, Carol van Doorn, PhDc, Christianna S. Williams, MPHc, Emily Cherlin, MSWa and Sharon K. Inouye, MD, MPHb

a Yale School of Medicine, Department of Epidemiology and Public Health, New Haven, CT
b Yale School of Medicine, Department of Internal Medicine, Dorothy Adler Geriatric Assessment Center, New Haven, CT
c Yale University, Program on Aging, New Haven, CT

Correspondence: Elizabeth H. Bradley, PhD, Yale School of Medicine, Department of Epidemiology and Public Health, 300 College Street, New Haven, CT 06520. E-mail: elizabeth.bradley{at}yale.edu.

Decision Editor: Vernon L. Greene, PhD

Previous evaluative studies of outpatient geriatric assessment have focused on a limited set of outcomes related to functioning, health services utilization, and costs. The purpose of this study was to identify important goals for care as described by patients and family caregivers being cared for in this setting. Using a cross-section of 226 consecutive sets of patients and their primary family caregivers, physicians, and case managers, goals of care for individual patients were coded from open-ended interview responses. The most common categories of goals expressed by family caregivers were obtaining education and referrals (57.5%) and improving social and family relationships (53.0%). The process of establishing and meeting such goals should be explicitly included in the design of future evaluations of outpatient geriatric assessment.

Key Words: Goal-setting • Geriatric assessment • Outcomes




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