Geriatric Resource Teams: Equipping Primary Care Practices to Meet the Complex Care Needs of Older Adults

摘要: Primary care practices lack the time, expertise, and resources to perform traditional comprehensive geriatric assessment. In particular, they need methods improve their capacity identify for older adults with complex needs, such as cognitive impairment. As US population ages, discovering strategies address these needs within primary are urgently needed. This article describes development of an innovative, team-based model diagnosis impairment in practices. was developed through a mentoring process from team expertise geriatrics quality improvement. Refinement existing assessment performed during routine allowed patients be identified. The practice then used collaborative workflow connect appropriate community resources. Utilization processes led reduced referrals specialty clinic, fewer presenting crisis social worker, greater collaboration self-efficacy those practice. Although initially impairment, impact has been applied more broadly multimorbidity.