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The past and future of geriatric day hospitals

Part of: Bespoke shallow archive Weizmann

Published online by Cambridge University Press:  02 July 2009

JH Beynon  and
D Padiachy
JH Beynon
Affiliation:
Portsmouth Hospitals NHS Trust, UK
D Padiachy*
Affiliation:
Salisbury NHS Foundation Trust, UK
*
Address for correspondence: Dr D Padiachy, 22 Harewood Gardens, Bournemouth BH7 7RH, UK. Email: [email protected]
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Summary

The status of the geriatric day hospital within the National Health Service (NHS) in the UK has changed significantly over the past fifty years. We conducted a literature review starting from the inception of the geriatric day hospital, when it was viewed as the ‘shop front for geriatric services’ and was subsequently replicated in many western health systems, to the present uncertainty surrounding the model in terms of outcomes and cost effectiveness. The article also highlights the input of the Royal College of Physicians and the British Geriatric Society to the management and development of day hospitals. The geriatric day hospital has become one of the many service models under the umbrella of intermediate care services, offering comprehensive geriatric assessment and care to older people in the community. However, with the current practices of commissioning of services and ‘payment by results’, the future of this precious health resource remains uncertain.

Keywords

Geriatric day hospitalcomprehensive geriatric assessmentcost effectivenessoutcome measuresintermediate care
Type
Intermediate care and rehabilitation
Information
Reviews in Clinical Gerontology , Volume 19 , Issue 1 , February 2009 , pp. 45 - 51
Copyright
Copyright © Cambridge University Press 2009

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