Comprehensive Geriatric Assessment Case Study and Delphi_Version 1
Research type
Research Study
Full title
How best to deliver comprehensive geriatric assessment (CGA) in a cost-effective way: modern acute care for older people
IRAS ID
173754
Contact name
Sasha Shepperd
Contact email
Sponsor organisation
Oxford University Hospitals NHS Foundation Trust
Duration of Study in the UK
1 years, 6 months, 0 days
Research summary
Comprehensive Geriatric Assessment (CGA) is a multidimensional interdisciplinary diagnostic process focused on determining a frail older person’s medical, functional, psychological and social capability to ensure that problems are identified, quantified and managed appropriately. There is good quality evidence that CGA has potential to improve clinical outcomes (reduce mortality and need for long-term care) and reduce health and social care costs. Evidence is needed now on how to provide acute CGA to older adults in greater numbers in alternative community settings given the fixed or shrinking hospital bed base. There is uncertainty about the optimal way of implementing CGA in such settings. We will undertake this research through three work packages:
(1) A national survey of CGA providers in community settings across the UK, and interviews with a sample of survey participants (IRAS R&D 157308).
(2) An update of the Cochrane Review of CGA with individual patient data meta-analysis and multi-level modelling of cost-effectiveness.(3) A Delphi exercise with clinicians who specialise in the care of older people to identify the key components and modes of delivery of CGA in different settings and focus groups with patients and caregivers. Responses will be anonymous. Comparative case studies of in-patient and admission avoidance hospital at home services employing observation of practice, shadowing of professionals and interviews with healthcare providers, patients and caregivers, will examine how CGA is implemented in real life (WP3). Only WP3 is focus of this REC and R&D application.
REC name
South Central - Oxford C Research Ethics Committee
REC reference
15/SC/0266
Date of REC Opinion
3 Jun 2015
REC opinion
Favourable Opinion