The underlying rationale to support interdisciplinary collaboration in geriatrics and gerontology is based on the complexity of elderly care. The most important characteristic about interdisciplinary health care teams for older people in Latin America is their subjective-basis framework. In other regions, teams are organized according to a…

Purpose: The purpose of the study was to understand better the clinical collaboration process among primary care physicians (PCPs), case managers (CMs), and geriatricians in integrated models of care. Methods: We conducted a qualitative study with semistructured interviews. A purposive sample of 35 PCPs, 7 CMs, and 4 geriatricians was selected in…

The purpose of the ELDER (Expanded Learning and Dedication to Elders in the Region) Project was to address the needs of underserved older adults by providing worksite education to individuals who provide nursing care to older adults in community health centers, home health agencies, and long-term care facilities. Four agencies located in a Health…

Examined use of Geriatric Consultation Team in acute care hospital among 185 older veterans. Intervention patients were more likely than controls to have recommendations concerning discharge planning and long-term care. Groups had similar discharge placements. Preadmission location, functional status, mental status, occurrence of hospital-acquired…

Suggests an innovative group structure and process for integrating health care providers and elderly consumers in community health care planning, implementation, and evaluation. The Elderly Health Advocacy Group is described and its developmental processes outlined. Further demonstration for long-range impact is suggested. (Author)

Despite the increasing public demand for enhanced care of older patients and those with life-threatening illness, health professionals have had limited formal education in geriatrics and palliative care. Furthermore, formal education in interdisciplinary team training is limited. In order to remedy this situation, proactive interventions are being…

Includes "Meeting the Needs of the Aging Network" (Browdie); "In Nursing, a Study in Contradictions" (Morrissey); and "In Geriatrics, the Team Approach" (Heinemann). (JOW)

An 11-year study was undertaken of 1,135 discharged geriatric patients from rehabilitation service in a skilled nursing home. Of the patients aged 62-99, 693 were discharged to independent living. The high rate of return to independent living was made possible through a health team approach including intensive therapy treatment and social work…

Describes how a staff counselor, relating to elderly patients in a private medical practice, can serve the interests of patients, families, physicians, and community agencies. The role of the counselor is outlined and the benefits of a team approach are discussed. (JAC)

Outlines a framework for organizing discussions of quality of life for elderly persons with disabilities, reviews relevant empirical research, and develops a framework for understanding the different interpretations of quality of life as it is used in communication among health care providers, elderly patients, and their families. New models of…

Monitoring the progress of teams over 18 months and analyzing the activities of 2 teams revealed financially stable and supportive sponsoring agencies and the community were critical factors in implementing services. Future programs trying to promote development of geriatric services should try to address these issues through community…

Demographic and utilization date are used to project the need for physicians to provide care for the elderly over the next 50 years. The quantitative estimates are coupled with qualitative analyses leading to recommendations for means to deliver the needed services. Estimates are that the United States will require about 8,000 geriatricians by…

A required eight-week rotation in ambulatory medicine at three clinics that included house calls by medical students is described. The students' evaluation of the curriculum provided information on the effectiveness to teaching strategies and the success of transmitting knowledge about the homebound elderly. (Author/MLW)