Hedrick S C, Barrand N, Deyo R, Haber P, James K, Metter J, Mor V, Scanlon W, Weissert W, Williams M
HSR&D VA Medical Center, Seattle, WA 98108.
J Am Geriatr Soc. 1991 Sep;39(9 Pt 2):48S-52S. doi: 10.1111/j.1532-5415.1991.tb05935.x.
Issues related to measuring outcomes of care in geriatric evaluation and management (GEM) units were identified by the outcomes working group of the GEM evaluation conference. GEM units have as a major goal the improvement or maintenance of both physical and psychosocial function. Suggested outcome measures for physical health included survival, restricted activity days, general health perceptions, comprehensive physical function, and miscellaneous specific types of functioning. In the area of psycho-social function, the working group suggested measuring cognitive function, affect/life satisfaction, social function, and satisfaction with care. The patient's caregiver (eg, spouse or child) is often an important target of GEM care, and the group suggested measuring caregiver burden, life satisfaction, and assessment of patient behavior problems. While the primary goal of GEM units is to improve health status, their effects on the utilization and cost of health care are important to decisions about wide-spread implementation and funding. The group therefore suggested a comprehensive assessment of these outcomes. Among the large array of recommended outcomes, the most important were thought to be mortality, function, and cost.
老年评估与管理（GEM）单元护理结果测量相关问题由GEM评估会议的结果工作组确定。GEM单元的一个主要目标是改善或维持身体和心理社会功能。身体健康方面建议的结果测量指标包括生存率、活动受限天数、总体健康认知、综合身体功能以及其他特定类型的功能。在心理社会功能领域，工作组建议测量认知功能、情感/生活满意度、社会功能以及对护理的满意度。患者的照料者（如配偶或子女）通常是GEM护理的重要对象，该小组建议测量照料者负担、生活满意度以及对患者行为问题的评估。虽然GEM单元的主要目标是改善健康状况，但它们对医疗保健利用和成本的影响对于广泛实施和资金决策很重要。因此，该小组建议对这些结果进行全面评估。在大量推荐的结果中，最重要的被认为是死亡率、功能和成本。
