{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,9,16]],"date-time":"2026-09-16T16:52:11Z","timestamp":1789577531281,"version":"build-2803163510"},"reference-count":18,"publisher":"Wiley","issue":"4","license":[{"start":{"date-parts":[[2024,5,26]],"date-time":"2024-05-26T00:00:00Z","timestamp":1716681600000},"content-version":"vor","delay-in-days":0,"URL":"http:\/\/creativecommons.org\/licenses\/by-nc\/4.0\/"}],"content-domain":{"domain":["onlinelibrary.wiley.com"],"crossmark-restriction":true},"short-container-title":["Australas J Ageing"],"published-print":{"date-parts":[[2024,12]]},"abstract":"<jats:title>Abstract<\/jats:title><jats:sec><jats:title>Objective<\/jats:title><jats:p>To describe the types of hospital and out\u2010of\u2010hospital 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.<\/jats:p><\/jats:sec><jats:sec><jats:title>Methods<\/jats:title><jats:p>An electronic survey was sent to HODs of public geriatric medicine departments.<\/jats:p><\/jats:sec><jats:sec><jats:title>Results<\/jats:title><jats:p>Seventy\u2010six (89%) of 85 identified HODs completed the survey. Seventy\u2010one (93%) departments admit inpatients and 51 (67%) admit acute inpatients, with variable admission criteria. Sixty\u2010four (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\u2010of\u2010hospital services, 74 (97%) departments have outpatient clinics, 59 (78%) have telehealth and 68 (89%) perform home visits. Forty\u2010five (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.<\/jats:p><\/jats:sec><jats:sec><jats:title>Conclusions<\/jats:title><jats:p>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.<\/jats:p><\/jats:sec>","DOI":"10.1111\/ajag.13331","type":"journal-article","created":{"date-parts":[[2024,5,27]],"date-time":"2024-05-27T05:53:26Z","timestamp":1716789206000},"page":"748-761","update-policy":"https:\/\/doi.org\/10.1002\/crossmark_policy","source":"Crossref","is-referenced-by-count":3,"title":["Hospital and out\u2010of\u2010hospital services provided by public geriatric medicine departments in Australia and New Zealand"],"prefix":"10.1111","volume":"43","author":[{"given":"Eleni","family":"Azarias","sequence":"first","affiliation":[{"name":"The University of Sydney Centre for Education and Research on Ageing  Concord New South Wales Australia"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Janani","family":"Thillainadesan","sequence":"additional","affiliation":[{"name":"The University of Sydney Centre for Education and Research on Ageing  Concord New South Wales Australia"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Carl","family":"Hanger","sequence":"additional","affiliation":[{"name":"University of Otago  Dunedin New Zealand"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"John","family":"Scott","sequence":"additional","affiliation":[{"name":"University of Auckland  Auckland New Zealand"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Amanda","family":"Boudville","sequence":"additional","affiliation":[{"name":"St John of God Bunbury Hospital  Bunbury Western Australia Australia"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0003-1872-3314","authenticated-orcid":false,"given":"Chris","family":"Moran","sequence":"additional","affiliation":[{"name":"Monash University  Melbourne Victoria Australia"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Robert","family":"O'Sullivan","sequence":"additional","affiliation":[{"name":"Royal Brisbane and Women's Hospital  Herston Queensland Australia"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"John","family":"Maddison","sequence":"additional","affiliation":[{"name":"SA Health  Adelaide South Australia Australia"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Kathy","family":"Eagar","sequence":"additional","affiliation":[{"name":"University of Wollongong  Wollongong New South Wales Australia"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Gillian","family":"Harvey","sequence":"additional","affiliation":[{"name":"Flinders University  Adelaide South Australia Australia"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Alison","family":"King","sequence":"additional","affiliation":[{"name":"Australian and New Zealand Society for Geriatric Medicine  Sydney New South Wales Australia"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Leanne","family":"Kearney","sequence":"additional","affiliation":[{"name":"The University of Sydney Centre for Education and Research on Ageing  Concord New South Wales Australia"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Vasi","family":"Naganathan","sequence":"additional","affiliation":[{"name":"The University of Sydney Centre for Education and Research on Ageing  Concord New South Wales Australia"}],"role":[{"vocabulary":"crossref","role":"author"}]}],"member":"311","published-online":{"date-parts":[[2024,5,26]]},"reference":[{"key":"e_1_2_11_2_1","unstructured":"Admitted patient care 2016\u201317.Australian hospital statistics Summary. 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