Department of General Internal Medicine, Cleveland Clinic Center for Geriatric Medicine, Cleveland, Ohio, USA.
Health Serv Res. 2023 Feb;58 Suppl 1(Suppl 1):63-68. doi: 10.1111/1475-6773.14068. Epub 2022 Sep 29.
To assess the impact of virtual capacity assessments on access to medical care, community supports, and transitions to higher levels of care.
Virtual capacity evaluations of homebound suspected elder abuse/neglect/financial exploitation victims identified via exclusion criteria and initiated by Cuyahoga County adult protective services (APS) and conducted with Cleveland Clinic Geriatric Medicine.
A retrospective chart review was conducted in conjunction with APS using their database to determine the outcomes of individuals who underwent virtual capacity evaluation from May 2020 through September 2021. Variables collected included completion of a statement of expert evaluation, guardianship assignment, offering community services, transfer to a higher level of care, and establishment of primary care.
DATA COLLECTION/EXTRACTION: Data were extracted from medical records and the APS database. Outcomes were measured as percentages.
Fifty-four individuals underwent evaluation. Statements of expert evaluation were completed in 38 cases (70%). Guardianship was assigned in 28 cases (52%). Community services were offered to 51 (89%). Thirty-one (57%) remained at home. At baseline, only 23 (43%) were receiving primary care. Post evaluation, 44 (81%) were connected or reconnected to their medical provider.
Of individuals who underwent our virtual capacity evaluations, most were able to remain at home, offered community services for support, and linked to primary care.
评估虚拟能力评估对医疗保健、社区支持以及向更高层次护理过渡的影响。
通过排除标准确定并由凯霍加县成人保护服务（APS）发起的居家疑似虐待/忽视/经济剥削老年人的虚拟能力评估，由克利夫兰诊所老年医学科进行。
与 APS 合作进行了回顾性图表审查，使用他们的数据库确定了 2020 年 5 月至 2021 年 9 月期间接受虚拟能力评估的个体的结果。收集的变量包括完成专家评估声明、监护权分配、提供社区服务、转至更高水平的护理以及建立初级保健。
数据收集/提取：数据从病历和 APS 数据库中提取。结果以百分比表示。
54 人接受了评估。在 38 例（70%）中完成了专家评估声明。在 28 例（52%）中分配了监护权。向 51 例（89%）提供了社区服务。31 例（57%）人仍在家中。在基线时，只有 23 例（43%）人接受了初级保健。评估后，44 例（81%）人与他们的医疗提供者建立或重新建立了联系。
在接受我们虚拟能力评估的个体中，大多数人能够留在家中，获得社区支持服务，并与初级保健建立联系。
