The results of a systematic review1 looking at alternatives to acute admission, evaluative
literature, impact on key outcomes and research methodologies were discussed. Professor …

As a means of responding to the ageing of the population and reducing patient demands for
acute hospital care, recent years have seen an expansion of service options for delivering …

Older people with complex needs are the main group to use these services. Their needs
therefore dictate that services should include support with instrumental and personal …

Community-based alternatives can provide safe and effective ways of managing the
demand for inpatient hospital care for older people [1–3]. Patients and carers prefer home …

Abstract Background: As in many Western countries, there has been a 19% increase in
Emergency Room (ER) visits by= 65 years older adults in the Netherlands. In these …

It is conventional wisdom that primary care for communitydwelling older people needs to
shift from vertical, diseaseoriented system of care to horizontal, problem-based, person …

COMMUNITY GERIATRICS: WHAT IS IT? All geriatricians have a role in community care,
even if it is limited to domiciliary visits, day hospital and outpatient clinics. A definition of the …

Introduction: Residential aged care (RAC) is a significant source of referral for hospital
inpatient care. RAC patients are older and frailer than community-living patients, but have …

Background: Comprehensive geriatric assessment (CGA) needs to be provided in a variety
of settings. There is an increasing need for CGA for frail older people in our community who …

From an early stage we both recognised the need to recruit volunteer visitors. In Bicester,
trained volunteers visited the over 75s at home to give health education and to brief them …