Journal of the Hong Kong Geriatrics Society

Volume 11 Number 1, January 2002

Outreach Geriatrics Service to private old age homes in Hong Kong West Cluster

JKH Luk, FHW Chan, MML Pau, C Yu

In Hong Kong, a large proportion of institutional-ized elderly people are residing in private old age homes (POAHs). Unfortunately, the quality of care is generally poor in POAHs and most of the staff are unt r ai ned. St art i ng f r om Jul y 1999, Community Geriatric Assessment Teams (CGATs) have been provi di ng servi ce to the POAHs. Hitherto, the effectiveness of CGAT service in POAHs is still unknown. This study examines the impact of Hong Kong West CGAT service in POAHs i n terms of Acci dent and Emergency ( A&E) Department attendance, hospital admissions, hospital bed-days, polypharmacy and multiple clinic follow-up. 316 residents of age 60 or above being been seen by CGAT for (6 months were studied. The residents were of poor functional state and cognition, with polypharmacy and multiple pathology. Incontinence, impaired vision and hearing were common. The average regular drugs and outpatient clinics were reduced by 10% and 54% respectively after 3 6 months of CGAT intervention. Subgroup analysis of 142 subjects being seen by CGAT for one year or more showed 19% and 22% reductions in A&E attendance and acute hospital admissions respectively (A&E: 1.43 ± 0.17 vs 1.77 ± 0.2, p<0.05; acute hospital: 1.27 ± 0.16 vs 1.63 ± 0.18, p<0.05). Moreover, 43% and 32% reducti ons i n acute hospi t al and convalescence hospital bed-days were found in the post-CGAT year (acute hospital: 4.8 ± 0.67 vs 8.4 ± 1.0 days, p=0.001; convalescence hospital: 10.5 ± 2.2 vs 15.5 ± 2.5 days, p<0.05). The results suggest that CGAT service to POAHs in Hong Kong is an effective health care delivery model. (J HK Geriatr Soc 2002; 11:5-10)

Keywords : Community Geriatric Assessment Team, private old age homes, outcome study

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