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Is there a geriatrician in the house? Geriatric care approaches in hospitalist programs

✍ Scribed by Heidi Wald; Jeanne Huddleston; Andrew Kramer

Publisher
John Wiley and Sons
Year
2006
Tongue
English
Weight
87 KB
Volume
1
Category
Article
ISSN
1553-5592

No coin nor oath required. For personal study only.

✦ Synopsis

Kutner provided comments on a draft of the manuscript.

BACKGROUND:

The rapid growth of the hospitalist movement presents an opportunity to reconsider paradigms of care for hospitalized older patients.

METHODS:

To determine the impact of the hospitalist movement on acute care geriatrics, we conducted a cross-sectional survey of the hospitalist community in 2003 and 2004.

RESULTS:

We identified innovations in geriatric hospital care in only 11 hospitalist programs. These innovations varied widely in complexity, goals, structure, and staffing. The majority targeted patients using age as a criterion and incorporated geriatrics training for nurses or physicians. Several innovations had one or more of the following features: geriatrician-hospitalists or gerontology nurse-practitioners, perioperative management for complex older patients, specialized geriatric services such as skilled nursing units or acute care for elders units, and quality improvement initiatives targeted to the older patient. A case study of the Hospital Internal Medicine group at the Mayo Clinic is presented as an example of a complex innovation highlighting several of these features.

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