Comprehensive Geriatric Assessment Case Studies in Asia
Real-world implementations of comprehensive geriatric assessment (CGA) across Asia, demonstrating proven outcomes in improving elderly care through systematic evaluation and coordinated interventions. These evidence-based case studies showcase successful adaptations to diverse healthcare systems and cultural contexts.
Note: Statistics and outcomes are sourced from published research studies. Please refer to the cited sources for detailed methodologies and data.
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Singapore Geriatric Services Hub (GSH) Program
Singapore - National Healthcare Group
Challenge
Community-dwelling older persons with bio-psycho-social needs required better coordination between primary care and specialist services, leading to fragmented care and unnecessary hospitalizations.
Solution
Implemented an integrated program delivering frailty screening, comprehensive geriatric assessment, and coordinated care. Integrated advance care planning as part of CGA for hospitalized frail elderly patients from 2015-2016.
Results
- ▪634 GSH participants showed increased use of primary care and specialist outpatient services
- ▪Better identification of previously unmet care needs
- ▪Successful integration of advance care planning into routine CGA
- ▪Reduced healthcare fragmentation through coordinated approach
- ▪Established framework for community-based geriatric care
Research Source
NCBI, Biomedcentral
Source cited for reference
InterRAI Implementation Across Singapore Healthcare
Singapore - Nationwide
Challenge
Singapore needed standardized assessment tools across its healthcare system to ensure consistent quality of care and enable data-driven policy decisions for its aging population.
Solution
Mandated interRAI instruments across the entire healthcare system, joining 35+ countries globally. The Geriatric Education and Research Institute (GERI) conducted extensive research and multi-regional validation studies.
Results
- ▪Standardized assessments implemented across all healthcare settings
- ▪Participated in validation of interRAI Chinese Self-reported Carer Needs assessment
- ▪Collaborated with Hong Kong, Shanghai, and Taiwan on regional standards
- ▪Enhanced data collection for evidence-based policy making
- ▪Improved care continuity across different care settings
Research Source
Isocial, Biomedcentral
Source cited for reference
Kure City Community-Based CGA Pilot Study
Kure City, Japan
Challenge
High-risk frail older adults in the community required targeted interventions to prevent deterioration and reduce long-term care dependency.
Solution
Conducted comprehensive geriatric assessments for 101 participants aged 65+ and referred them to appropriate services based on individual health needs. Followed up after 6 months to measure outcomes.
Results
- ▪98% of participants needed support for instrumental activities of daily living
- ▪96% were categorized as having locomotive syndrome
- ▪63.4% showed depressive tendencies requiring intervention
- ▪Service utilization rate reached 34.9%
- ▪Significant improvements in health outcomes after 6-month follow-up
Research Source
Biomedcentral, NIH
Source cited for reference
Learn More About Comprehensive Geriatric Assessment
These case studies demonstrate the transformative impact of comprehensive geriatric assessment across Asia's diverse healthcare systems. From Singapore's mandated interRAI implementation to China's national free examination program, each approach offers valuable insights for improving elderly care outcomes.
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