Hospital and out‐of‐hospital services provided by public geriatric medicine departments in Australia and New Zealand Article Swipe
Eleni Azarias
,
Janani Thillainadesan
,
Carl Hanger
,
James G. Scott
,
Amanda Boudville
,
Chris Moran
,
Robert O'Sullivan
,
John Maddison
,
Kathy Eagar
,
Gill Harvey
,
Alison King
,
Leanne Kearney
,
Vasi Naganathan
·
YOU?
·
· 2024
· Open Access
·
· DOI: https://doi.org/10.1111/ajag.13331
YOU?
·
· 2024
· Open Access
·
· DOI: https://doi.org/10.1111/ajag.13331
Objective To describe the types of hospital and out‐of‐hospital services provided by public geriatric medicine departments in Australia and New Zealand, and to explore head of department (HOD) views on issues in current and future service provision. Methods An electronic survey was sent to HODs of public geriatric medicine departments. Results Seventy‐six (89%) of 85 identified HODs completed the survey. Seventy‐one (93%) departments admit inpatients and 51 (67%) admit acute inpatients, with variable admission criteria. Sixty‐four (84%) have hospitals with an inpatient general medicine service, and 58 (91%) of these admit older patients with acute geriatric issues. Sixty (79%) departments provide inpatient rehabilitation. Forty (53%) have beds for behavioural symptoms of dementia and/or delirium. Seventy (92%) provide a proactive orthogeriatric service. In terms of out‐of‐hospital services, 74 (97%) departments have outpatient clinics, 59 (78%) have telehealth and 68 (89%) perform home visits. Forty‐five (59%) provide an inreach/outreach service to nursing homes. The most frequent gaps in service provision identified by HODs were acute geriatrics, surgical liaison, a designated dementia/delirium behavioural management unit, geriatricians in Emergency, outreach/inreach to residential care and shared care with some medical specialities. Increasing staff numbers and government policy change were the most frequently identified ways to address these gaps. Conclusions Geriatric medicine service provision is variable across Australia and New Zealand, with key gaps identified. These findings will inform future directions in implementation of geriatric medicine models of care and discussions with various levels of government about the ongoing development of geriatric medicine services.
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Metadata
- Type
- article
- Language
- en
- Landing Page
- https://doi.org/10.1111/ajag.13331
- https://onlinelibrary.wiley.com/doi/pdfdirect/10.1111/ajag.13331
- OA Status
- bronze
- Cited By
- 3
- References
- 7
- Related Works
- 10
- OpenAlex ID
- https://openalex.org/W4399051890
All OpenAlex metadata
Raw OpenAlex JSON
- OpenAlex ID
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https://openalex.org/W4399051890Canonical identifier for this work in OpenAlex
- DOI
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https://doi.org/10.1111/ajag.13331Digital Object Identifier
- Title
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Hospital and out‐of‐hospital services provided by public geriatric medicine departments in Australia and New ZealandWork title
- Type
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articleOpenAlex work type
- Language
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enPrimary language
- Publication year
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2024Year of publication
- Publication date
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2024-05-26Full publication date if available
- Authors
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Eleni Azarias, Janani Thillainadesan, Carl Hanger, James G. Scott, Amanda Boudville, Chris Moran, Robert O'Sullivan, John Maddison, Kathy Eagar, Gill Harvey, Alison King, Leanne Kearney, Vasi NaganathanList of authors in order
- Landing page
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https://doi.org/10.1111/ajag.13331Publisher landing page
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https://onlinelibrary.wiley.com/doi/pdfdirect/10.1111/ajag.13331Direct link to full text PDF
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YesWhether a free full text is available
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bronzeOpen access status per OpenAlex
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https://onlinelibrary.wiley.com/doi/pdfdirect/10.1111/ajag.13331Direct OA link when available
- Concepts
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Outreach, Geriatrics, Medicine, Delirium, Government (linguistics), Service (business), Dementia, Hospital medicine, Family medicine, Public hospital, Nursing, Medical emergency, Psychiatry, Economy, Law, Philosophy, Political science, Linguistics, Disease, Pathology, EconomicsTop concepts (fields/topics) attached by OpenAlex
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3Total citation count in OpenAlex
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2025: 3Per-year citation counts (last 5 years)
- References (count)
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7Number of works referenced by this work
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10Other works algorithmically related by OpenAlex
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| abstract_inverted_index.(93%) | 62 |
| abstract_inverted_index.(97%) | 128 |
| abstract_inverted_index.(HOD) | 28 |
| abstract_inverted_index.Forty | 104 |
| abstract_inverted_index.Sixty | 98 |
| abstract_inverted_index.These | 220 |
| abstract_inverted_index.about | 241 |
| abstract_inverted_index.acute | 70, 95, 163 |
| abstract_inverted_index.admit | 64, 69, 91 |
| abstract_inverted_index.gaps. | 203 |
| abstract_inverted_index.older | 92 |
| abstract_inverted_index.staff | 188 |
| abstract_inverted_index.terms | 123 |
| abstract_inverted_index.these | 90, 202 |
| abstract_inverted_index.types | 5 |
| abstract_inverted_index.unit, | 172 |
| abstract_inverted_index.views | 29 |
| abstract_inverted_index.across | 211 |
| abstract_inverted_index.and/or | 113 |
| abstract_inverted_index.change | 193 |
| abstract_inverted_index.future | 35, 224 |
| abstract_inverted_index.homes. | 151 |
| abstract_inverted_index.inform | 223 |
| abstract_inverted_index.issues | 31 |
| abstract_inverted_index.levels | 238 |
| abstract_inverted_index.models | 231 |
| abstract_inverted_index.policy | 192 |
| abstract_inverted_index.public | 13, 47 |
| abstract_inverted_index.shared | 181 |
| abstract_inverted_index.survey | 41 |
| abstract_inverted_index.Methods | 38 |
| abstract_inverted_index.Results | 51 |
| abstract_inverted_index.Seventy | 115 |
| abstract_inverted_index.address | 201 |
| abstract_inverted_index.current | 33 |
| abstract_inverted_index.explore | 24 |
| abstract_inverted_index.general | 83 |
| abstract_inverted_index.issues. | 97 |
| abstract_inverted_index.medical | 185 |
| abstract_inverted_index.numbers | 189 |
| abstract_inverted_index.nursing | 150 |
| abstract_inverted_index.ongoing | 243 |
| abstract_inverted_index.perform | 140 |
| abstract_inverted_index.provide | 101, 117, 145 |
| abstract_inverted_index.service | 36, 148, 157, 207 |
| abstract_inverted_index.survey. | 60 |
| abstract_inverted_index.various | 237 |
| abstract_inverted_index.visits. | 142 |
| abstract_inverted_index.Abstract | 0 |
| abstract_inverted_index.Zealand, | 21, 215 |
| abstract_inverted_index.clinics, | 132 |
| abstract_inverted_index.dementia | 112 |
| abstract_inverted_index.describe | 3 |
| abstract_inverted_index.findings | 221 |
| abstract_inverted_index.frequent | 154 |
| abstract_inverted_index.hospital | 7 |
| abstract_inverted_index.liaison, | 166 |
| abstract_inverted_index.medicine | 15, 49, 84, 206, 230, 247 |
| abstract_inverted_index.patients | 93 |
| abstract_inverted_index.provided | 11 |
| abstract_inverted_index.service, | 85 |
| abstract_inverted_index.service. | 121 |
| abstract_inverted_index.services | 10 |
| abstract_inverted_index.surgical | 165 |
| abstract_inverted_index.symptoms | 110 |
| abstract_inverted_index.variable | 73, 210 |
| abstract_inverted_index.Australia | 18, 212 |
| abstract_inverted_index.Geriatric | 205 |
| abstract_inverted_index.Objective | 1 |
| abstract_inverted_index.admission | 74 |
| abstract_inverted_index.completed | 58 |
| abstract_inverted_index.criteria. | 75 |
| abstract_inverted_index.delirium. | 114 |
| abstract_inverted_index.geriatric | 14, 48, 96, 229, 246 |
| abstract_inverted_index.hospitals | 79 |
| abstract_inverted_index.inpatient | 82, 102 |
| abstract_inverted_index.proactive | 119 |
| abstract_inverted_index.provision | 158, 208 |
| abstract_inverted_index.services, | 126 |
| abstract_inverted_index.services. | 248 |
| abstract_inverted_index.Emergency, | 175 |
| abstract_inverted_index.Increasing | 187 |
| abstract_inverted_index.department | 27 |
| abstract_inverted_index.designated | 168 |
| abstract_inverted_index.directions | 225 |
| abstract_inverted_index.electronic | 40 |
| abstract_inverted_index.frequently | 197 |
| abstract_inverted_index.government | 191, 240 |
| abstract_inverted_index.identified | 56, 159, 198 |
| abstract_inverted_index.inpatients | 65 |
| abstract_inverted_index.management | 171 |
| abstract_inverted_index.outpatient | 131 |
| abstract_inverted_index.provision. | 37 |
| abstract_inverted_index.telehealth | 136 |
| abstract_inverted_index.Conclusions | 204 |
| abstract_inverted_index.behavioural | 109, 170 |
| abstract_inverted_index.departments | 16, 63, 100, 129 |
| abstract_inverted_index.development | 244 |
| abstract_inverted_index.discussions | 235 |
| abstract_inverted_index.geriatrics, | 164 |
| abstract_inverted_index.identified. | 219 |
| abstract_inverted_index.inpatients, | 71 |
| abstract_inverted_index.residential | 178 |
| abstract_inverted_index.Forty‐five | 143 |
| abstract_inverted_index.Sixty‐four | 76 |
| abstract_inverted_index.departments. | 50 |
| abstract_inverted_index.Seventy‐one | 61 |
| abstract_inverted_index.Seventy‐six | 52 |
| abstract_inverted_index.geriatricians | 173 |
| abstract_inverted_index.specialities. | 186 |
| abstract_inverted_index.implementation | 227 |
| abstract_inverted_index.orthogeriatric | 120 |
| abstract_inverted_index.rehabilitation. | 103 |
| abstract_inverted_index.inreach/outreach | 147 |
| abstract_inverted_index.outreach/inreach | 176 |
| abstract_inverted_index.dementia/delirium | 169 |
| abstract_inverted_index.out‐of‐hospital | 9, 125 |
| cited_by_percentile_year.max | 97 |
| cited_by_percentile_year.min | 96 |
| corresponding_author_ids | https://openalex.org/A5095643969 |
| countries_distinct_count | 2 |
| institutions_distinct_count | 13 |
| corresponding_institution_ids | https://openalex.org/I129604602 |
| citation_normalized_percentile.value | 0.79422848 |
| citation_normalized_percentile.is_in_top_1_percent | False |
| citation_normalized_percentile.is_in_top_10_percent | True |