Geriatric consultation services-are wards more effective than teams?
1 Rehabilitation Studies Unit, Sydney Medical School Northern, University of Sydney, Ryde, NSW, Australia
2 Curran Chair in Healthcare of Older People, Sydney Medical School Northern, University of Sydney, Hornsby, NSW, Australia
BMC Medicine 2013, 11:49 doi:10.1186/1741-7015-11-49
Please see related research article here http://www.biomedcentral.com/1741-7015/11/48Published: 22 February 2013
Geriatric consultation teams are one of the models for bringing comprehensive geriatric assessment to vulnerable and frail older people in the acute care hospital setting. While ward-based comprehensive geriatric assessment has been established as effective with reference to improving functional status and other outcomes, the team-based variant remains unproven for outcomes other than mortality in the medium term, as shown in a recent study published in BMC Medicine by Deschodt and colleagues. Further research might establish the effectiveness of the team-based model but, for current clinical practice, the emphasis should be on streaming older people with complex problems needing multidisciplinary assessment and treatment to ward-based models of comprehensive geriatric assessment.