Improving Health Care for Older Persons

  1. C Seth Landefeld, MD
  1. From the University of California, San Francisco, and the San Francisco Veterans Affairs Medical Center, San Francisco, California.

    Abstract

    Health care of the highest quality promotes successful aging. This paper examines the efforts that have been taken to improve the quality of health care, especially hospital care. Most of these efforts have evaluated conventional treatments of specific diseases; they are critical but underfunded and underused, and many practices persist without much evidence of efficacy. Fewer efforts have attempted to improve care for groups of persons in specific settings, such as the hospital. Three complementary approaches to improving comprehensive outcomes for hospitalized older persons—Geriatric Evaluation and Management, Acute Care for Elders, and the Elder Life Program—demonstrate what has been learned about improving care for older persons by redesigning microsystems of care. A research agenda for advancing successful aging should include specific actions to improve the quality of health care.

    Article and Author Information

    • Grant Support: In part by grants from the National Institute on Aging (K07 AG00912) and the John A. Hartford Foundation, Inc. (2000-0455).

    • Potential Financial Conflicts of Interest: None disclosed.

    • Requests for Single Reprints: C. Seth Landefeld, MD, Division of Geriatrics, Box 1265, University of California, San Francisco, San Francisco, CA 94143-1265.

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    This Article

    1. Ann Intern Med September 2, 2003 vol. 139 no. 5 Part 2 421-424
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