The rising number of geriatric patients with complex, chronic, and often multiple health conditions presents numerous policy challenges. RAND has conducted the most comprehensive examination of the quality of medical care provided to the vulnerable elderly and coordinates interdisciplinary research centers to develop and study innovative clinical and health services interventions to improve health care outcomes for geriatric patients.
Research conducted by:
Center for the Study of Aging;
Assessing Care of Vulnerable Elders (ACOVE)
An evaluation of 16 integrated care pilot programs in England revealed that greater integration of health and social care led to improved care processes and more satisfied staff, but some aspects of patient experience were less positive, and the intended reduction in emergency admissions was not seen.
Vulnerable elders receive on average only half of recommended care; for conditions that affect primarily the elderly, they receive appropriate care less than one-third of the time. Interventions based on ACOVE indicators can improve the care physicians provide to older adults.