The Geriatric Floating Interdisciplinary Transition Team
The Geriatric Floating Interdisciplinary Transition Team
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DOI：
10.1111/j.1532-5415.2009.02682.x
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发表时间：
2010-02-01
影响因子：
6.3
通讯作者：
Durso, Samuel C.
中科院分区：
文献类型：
--
作者：
Arbaje, Alicia I.;Maron, David D.;Durso, Samuel C.
老年人在住院期间和过渡到急性后环境期间经常得到不太理想的护理。住院老年服务已被证明提高了护理质量，但并未持续改善患者的预后。老年急性护理单位改善了患者的预后，但需要大量的资源。过渡期护理已被证明可以减少重新入院和医疗成本。本文描述了老年浮动跨学科过渡团队(GERI-FITT)，该模式结合了住院老年评估和管理的优点，并通过创建同时提供过渡护理的住院管理服务来实现过渡护理模式。Geri-FITT模式旨在改善老年人的医院护理及其向急性后环境的过渡。在Geri-FITT，一个老年医生护士执业团队评估患者，治疗老年综合征，提供员工教育，鼓励患者自我管理，与初级保健提供者沟通，并在患者出院后立即跟进。这项关于Geri-FITT的试验性队列研究包括在学术医疗中心(N=717)接受四项普通医学服务(两项Geri-FITT，两项普通护理)的70岁及以上住院患者。这项研究评估了Geri-FITT对患者护理过渡质量(护理过渡测量)和他们对医院护理的满意度(四个问题)的影响。结果显示，GERI-FITT与稍高的质量护理过渡和更高的患者对住院护理的满意度相关，但在统计学上并不显著。进一步研究它对这些和其他医疗保健环境中其他结果的影响似乎是有必要的。J am Geriatr Soc 58：364-370,2010。
Older adults often receive suboptimal care during hospitalizations and transitions to postacute settings. Inpatient geriatric services have been shown to increase care quality but have not improved patient outcomes consistently. Acute Care for the Elderly units improve patient outcomes but are resource intensive. Transitional care has been shown to reduce hospital readmissions and healthcare costs. This article describes the Geriatric Floating Interdisciplinary Transition Team (Geri-FITT), a model that combines the strengths of inpatient geriatric evaluation and comanagement and transitional care models by creating an inpatient comanagement service that also delivers transitional care. The Geri-FITT model is designed to improve the hospital care of older adults and their transitions to postacute settings. In Geri-FITT, a geriatrician geriatric nurse practitioner team assesses patients, comanages geriatric syndromes, provides staff education, encourages patient self-management, communicates with primary care providers, and follows up with patients soon after discharge.This pilot cohort study of Geri-FITT included hospitalized patients aged 70 and older on four general medicine services (two Geri-FITT, two usual care) at an academic medical center (N = 717). The study assessed the effect of Geri-FITT on patients' care transition quality (Care Transitions Measure) and their satisfaction with hospital care (four questions). The results indicate that Geri-FITT is associated with slightly higher, though not statistically significantly so, quality care transitions and greater patient satisfaction with inpatient care.Geri-FITT may be a feasible approach to enhancing inpatient management and transitional care for older adults. Further study of its effect on these and other outcomes in other healthcare settings seems warranted. J Am Geriatr Soc 58:364-370, 2010.