SIPA1,2
|
ER and hospital, institutionalization
and palliative care. General practitioner and specialists, home
care, sheltered housing, "hospital dia" and "day
center". |
Triage for frailty confirmed by
functional assessment. |
Higher community spending, lower
institutional spending, increased user and carer satisfaction. Main
impact: freeing up hospital beds previously occupied by patients
awaiting. |
PACE10,32
|
Day center (centralizes medical and
social services and functions as a residence) pays for services it
does not have. |
Medical and social services with support
from an interdisciplinary team. The team manages the case. |
Greater use of outpatients, less
hospital use, less time in nursing homes. Better perceived health,
quality of life, satisfaction with care and better perception of
functional state. |
PRISMA13
|
Home Care, hospital services,
hospital dia, day center, social services,
voluntary support including providing meals in the home and
community transport. |
Single entry point, triage of frailty
risk confirmed by functional assessment, case manager, care plan,
computerized medical records. |
Less hospital use, increased patient and
carer satisfaction with care received. |
Guided Care5-7,15,20
|
Trained nursing, GP, multidisciplinary
team and computerized medical records. |
Comprehensive geriatric assessment, care
plan, case management, carer support. |
Less use of in-home, hospital and
specialist nursing services. Families spending less, less functional
loss and better perceived health. |
Grace12,13
|
Multi-specialties center, acute care
unit, specialized nursing and physician house call program. One
computerized medical record integrates patient to local health care
services. |
Triage of risk, comprehensive geriatric
assessment, care plan and case management. |
Less use of ER. Patients identified as
at greater risk made less use of ER, hospital and hospital
dia. |