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Comprehensive geriatric assessment programmes : Possibilities, realities and outcomes

Savy, Pauline
Hodgkin, Suzanne
Long, Karrie
Melis, Rene
Lewis, Virginia
Furler, John
Lim, Kwang
Dow, Briony
Blackberry, Irene
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Abstract
Interventions based on comprehensive geriatric assessment (CGA) have been implemented in many countries. These interventions, based on the premise that such assessment will delay individual decline and reduce demand on medical and institutional care, generally result in equivocal or modest outcomes. This article presents findings from a critical realist review of a sample of reported interventions to offer insights into the macro- and micro-factors that affect the implementation and outcomes of CGA-based endeavours. The findings hold particular relevance for informing Australian policy which provides for annual, clinical assessment of people above the age of 75.
Keywords
75+ health assessment, ageing populations, comprehensive geriatric assessment, critical realist reviews, primary health care
Date
2019
Type
Journal article
Journal
Evaluation Journal of Australasia
Book
Volume
19
Issue
3
Page Range
115-133
Article Number
ACU Department
School of Allied Health
Faculty of Health Sciences
Relation URI
Source URL
Event URL
Open Access Status
License
All rights reserved
File Access
Controlled
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