Table 1.

Differences between the Prevention and Reactivation Care Program and current geriatric Care in The Netherlands

	Prevention and Reactivation Care Program	Hospital care with follow-up care	Hospital care without follow-up care
Hospital care	Identification of vulnerable elderly patient within 48 h Assessment of risk factors for functional decline Start reactivation treatment within 48 h Clinical geriatrician Geriatric nurses	Start reactivation treatment after discharge No specific identification instrument	Start reactivation path after discharge
Hospital replacement care	Prevention and Reactivation Centre Part of treatment plan Continuation of (in hospital started) treatment focused on six domains of functional status Availability of (para)medical disciplines	Hospital replacement care Admission is patient's choice Care facility with option for treatment No structured treatment plan, but separate elements Limited number of (para)medical disciplines	Hospital replacement care not available
Home care	Geriatric care chain agreements with general practitioner and home care Case management with geriatric expertise	Follow-up care by home care organizations (not specialized in geriatrics)	Follow-up care by home care organizations (not specialized in geriatrics)
Multidisciplinary approach	Weekly multidisciplinary team meeting Treatment and care focused on medical condition and functioning in six domains (i.e. physical, mental, social, financial, home, and care) Goal-oriented approach	Key professional is responsible for treatment and interdisciplinary consults Discussion and collaboration focused on medical condition	Key professional is responsible for treatment and consults Discussion and collaboration focused on medical condition
Patient	Patient oriented integrated treatment plan Discussion treatment with patient during entire treatment path Problem solving	Separate treatment plans Treatment coherence determined by patient	Separate treatment plans Treatment coherence determined by patient
Informal caregiver	Part of treatment plan	Individual choice	Individual choice