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. 1993 Mar 15;148(6):939–944.

Assessing the effectiveness of geriatric services: a proposed methodology. Canadian Task Force on the Periodic Health Examination.

M G Cole 1
PMCID: PMC1490713  PMID: 8448708

Abstract

This article presents an explicit and systematic methodology, adapted from the practices of the Canadian Task Force on the Periodic Health Examination, for assessing the effectiveness of geriatric services in managing specific diseases and disabilities. The five steps in the process are as follows: (1) the identification of target diseases and disabilities, (2) the development of a specific service model for each target condition, (3) the establishment of criteria that must be satisfied for service procedures to be considered effective, (4) a review of the evidence from published clinical research to determine whether service procedures meet the criteria and (5) the classification of recommendations based on the strength of the evidence. These methods can enhance scientific standards for assessing effectiveness by encouraging a systematic, comprehensive and objective evaluation of the evidence.

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Selected References

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  1. Cole M. G. Evaluation of psychogeriatric services. Can J Psychiatry. 1988 Feb;33(1):57–58. doi: 10.1177/070674378803300113. [DOI] [PubMed] [Google Scholar]
  2. Cole M. G., Fenton F. R., Engelsmann F., Mansouri I. Effectiveness of geriatric psychiatry consultation in an acute care hospital: a randomized clinical trial. J Am Geriatr Soc. 1991 Dec;39(12):1183–1188. doi: 10.1111/j.1532-5415.1991.tb03572.x. [DOI] [PubMed] [Google Scholar]
  3. Francis J., Martin D., Kapoor W. N. A prospective study of delirium in hospitalized elderly. JAMA. 1990 Feb 23;263(8):1097–1101. [PubMed] [Google Scholar]
  4. Kramer A., Deyo R., Applegate W., Meehan S. Research strategies for geriatric evaluation and management: conference summary and recommendations. J Am Geriatr Soc. 1991 Sep;39(9 Pt 2):53S–57S. doi: 10.1111/j.1532-5415.1991.tb05936.x. [DOI] [PubMed] [Google Scholar]
  5. Laupacis A., Feeny D., Detsky A. S., Tugwell P. X. How attractive does a new technology have to be to warrant adoption and utilization? Tentative guidelines for using clinical and economic evaluations. CMAJ. 1992 Feb 15;146(4):473–481. [PMC free article] [PubMed] [Google Scholar]
  6. Levitan S. J., Kornfeld D. S. Clinical and cost benefits of liaison psychiatry. Am J Psychiatry. 1981 Jun;138(6):790–793. doi: 10.1176/ajp.138.6.790. [DOI] [PubMed] [Google Scholar]
  7. Oxman A. D., Guyatt G. H. Guidelines for reading literature reviews. CMAJ. 1988 Apr 15;138(8):697–703. [PMC free article] [PubMed] [Google Scholar]
  8. Rapp S. R., Parisi S. A., Walsh D. A., Wallace C. E. Detecting depression in elderly medical inpatients. J Consult Clin Psychol. 1988 Aug;56(4):509–513. doi: 10.1037//0022-006x.56.4.509. [DOI] [PubMed] [Google Scholar]
  9. Sackett D. L. Rules of evidence and clinical recommendations on the use of antithrombotic agents. Chest. 1986 Feb;89(2 Suppl):2S–3S. [PubMed] [Google Scholar]
  10. Strain J. J., Lyons J. S., Hammer J. S., Fahs M., Lebovits A., Paddison P. L., Snyder S., Strauss E., Burton R., Nuber G. Cost offset from a psychiatric consultation-liaison intervention with elderly hip fracture patients. Am J Psychiatry. 1991 Aug;148(8):1044–1049. doi: 10.1176/ajp.148.8.1044. [DOI] [PubMed] [Google Scholar]
  11. Streiner D. L. Using meta-analysis in psychiatric research. Can J Psychiatry. 1991 Jun;36(5):357–362. doi: 10.1177/070674379103600508. [DOI] [PubMed] [Google Scholar]
  12. Woolf S. H., Battista R. N., Anderson G. M., Logan A. G., Wang E. Assessing the clinical effectiveness of preventive maneuvers: analytic principles and systematic methods in reviewing evidence and developing clinical practice recommendations. A report by the Canadian Task Force on the Periodic Health Examination. J Clin Epidemiol. 1990;43(9):891–905. doi: 10.1016/0895-4356(90)90073-x. [DOI] [PubMed] [Google Scholar]

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