Fillit H
Dept. of Geriatrics and Adult Development, Mount Sinai Medical Center, New York, NY 10029-6574.
J Am Geriatr Soc. 1994 May;42(5):553-8. doi: 10.1111/j.1532-5415.1994.tb04979.x.
The Mount Sinai Medical Center's Geriatric Evaluation and Treatment Unit (GETU) is a 16-bed acute care geriatric unit that operates under the Medicare Prospective Payment System (PPS) in an academic medical center environment. The Medicare PPS and the needs of our local health care system have played a considerable role in the development and operation of our inpatient acute care geriatric unit. The GETU provides acute geriatric care and geriatric assessment and is a site for education and clinical research. The GETU serves a targeted group of acutely ill, hospitalized frail elderly with complex, interdisciplinary needs. The multidisciplinary GETU team was financed from generally available and justifiable hospital resources. Geriatric assessment is conducted under the Medicare PPS during the process of acute care without prolonging hospital length of stay. In fact, during the past 6 years, the introduction of geriatric care and assessment programs has been associated with a significant reduction in hospital length of stay and hospital costs for this complex and difficult population. It is our experience that an acute care geriatric unit functioning under traditional Medical Prospective Payment can have the dual effect of enhancing care and reducing hospital costs for the hospitalized frail elderly.
西奈山医疗中心的老年病评估与治疗单元（GETU）是一个拥有16张床位的急性护理老年病单元，在学术医疗中心环境下按照医疗保险预付费系统（PPS）运作。医疗保险PPS以及我们当地医疗系统的需求在我们住院急性护理老年病单元的发展和运营中发挥了重要作用。GETU提供急性老年病护理和老年病评估，并且是一个教育和临床研究场所。GETU服务于一群有复杂、跨学科需求的急性病住院体弱老年人。多学科的GETU团队由医院的一般可用且合理的资源资助。在急性护理过程中，在医疗保险PPS的框架下进行老年病评估，且不延长住院时间。事实上，在过去6年里，老年病护理和评估项目的引入使得这个复杂且困难群体的住院时间和住院费用显著降低。我们的经验是，在传统医疗预付费模式下运作的急性护理老年病单元可以对住院体弱老年人起到提高护理质量和降低住院费用的双重作用。
