MODELS OF COMMUNITY CARE FOR THE ELDERLY INVOLVING COLLABORATION BETWEEN SPECIALIZED GERIATRIC SERVICES AND PRIMARY CARE PRACTITIONERS

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MODELS OF COMMUNITY CARE FOR THE ELDERLY INVOLVING COLLABORATION BETWEEN SPECIALIZED GERIATRIC SERVICES AND PRIMARY CARE PRACTITIONERS

For: The Regional Geriatric Program of Eastern Ontario; c/o Fara Amnizadeh

From: Knowledge To Action, Ottawa Hospital Research Institute; Managing coordinator: Kristin Konnyu

Submitted: September 14th, 2011.

TABLE OF CONTENTS

  • 1. Summary table of relevant services/models
  • 2. References of  studies/reports summarized
  • 3. References of potentially relevant reviews
  • 4. References of potentially relevant reports which were unavailable electronically
  • 5. References of excluded articles  
  • APPENDIX A: Grey literature searches

NOTES ON METHODOLOGY

‐ Assessed herein are the full‐text reports retrieved from electronic database searches only (n=217). Screening and interpreting this literature required an extensive time commitment and conceptual clarification (as compared to other scoping questions), and thus limited the amount of articles that could be processed each day (average rate of ~30/day). Due to these circumstances, records retrieved through grey literature searching were not able to be screened or summarized; these searches have been attached here as an Appendix (APPEDNDIX A).

‐ Due to the various constraints (lack of familiarity with literature/concepts, time restraints, magnitude of evidence) and the nature of this project (scoping review for internal use only), phrasing of summarized articles had undergone minimal modification; where changes have been made, it was in the interest of trying to be as concise as possible. Accordingly, if any information were to be extracted into subsequent reports/publications, revisions of phrasing would need to occur.

‐ All summarized articles, reviews, and excluded articles (excluded at level of full‐text) are available upon request in Pdf format. Reasons for exclusion at Level 2 are also available upon request. ‐ Due to the exploratory nature of this project, a broad definition of ‘review’ was employed in capturing articles that synthesized potentially relevant information on models of interest (e.g. review, systematic review, discussion papers, etc.)

COMMENTS/REFLECTIONS ON LITERATURE

‐ As expected, there is a paucity of literature document models of collaboration between specialized geriatric services (SGS) and primary care physicians (PCPs). Where models/programs do exist, the focus of the model tends to be on the SGS itself, and collaboration with PCP is an adjunct, and accordingly, its processes, barriers/facilitators, etc. are under‐evaluated and reported. Some models however did appear to meet this collaborative goal, and hopefully will be considered useful.   ‐ An exception to this are a few excellent models, two of which (PRISMA, SIPA) involved extensive PCP collaboration and were Canadian‐based.

رابط[عدل]

http://www.ohri.ca/kta/docs/KTA-Elderly-Model-Evidence-Map.pdf