The purpose of this study was to evaluate high-risk older adults' satisfaction with outpatient geriatric evaluation and management (GEM). Community-dwelling Medicare beneficiaries (n = 522) age 70 years and older who had a high probability of repeated admission to hospitals (P(ra) > .40) were randomly assigned to receive either usual care or GEM for six months. Despite the stresses imposed by outpatient GEM (e.g., new relationships with providers, frequent office visits and changes in treatments), the mean satisfaction scores of the recipients of GEM were 9% higher than those of the recipients of usual care (4.31 vs 3.96, p < .001). The primary physicians of GEM recipients were also highly satisfied with GEM care.
Bibliographical noteFunding Information:
This research was supported by the National Institute on Aging with cofunding from the U.S. Agency for Health Care Policy and Research (R01-AG/HS11047), the Health Care Financing Administration, and the American Academy of Family Physicians Foundation. We would like to thank David McCaffrey, Milinda Rambel Stone, Cole Creves, Sharone Jen-son, and the GEM patients and primary physicians who responded to the surveys.
- Ambulatory care
- Consumer satisfaction
- Geriatric assessment
- High-risk elderly patients
- Patient satisfaction