Clinical activities of out-of-hospital Italian public geriatrics: a survey of members of the Italian Society of Geriatrics Hospital and Territory

The out-of-hospital public geriatrician is a key professional figure to address the challenges of the complexity of old patients and to act as a bridge between general and local medical services and increasingly crowded hospitals. This is a distinctive geriatrician in Italy who works mostly in the...

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Main Authors: Mariagiovanna Cozza, Ciro Manzo, Alberto Castagna, Maurizio Gallucci, Filippo Fimognari, Lorenzo Palleschi
Format: Article
Language:English
Published: PAGEPress Publications 2025-07-01
Series:Geriatric Care
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Online Access:https://www.pagepressjournals.org/gc/article/view/13405
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author Mariagiovanna Cozza
Ciro Manzo
Alberto Castagna
Maurizio Gallucci
Filippo Fimognari
Lorenzo Palleschi
author_facet Mariagiovanna Cozza
Ciro Manzo
Alberto Castagna
Maurizio Gallucci
Filippo Fimognari
Lorenzo Palleschi
author_sort Mariagiovanna Cozza
collection DOAJ
description The out-of-hospital public geriatrician is a key professional figure to address the challenges of the complexity of old patients and to act as a bridge between general and local medical services and increasingly crowded hospitals. This is a distinctive geriatrician in Italy who works mostly in the territory and intermediate care, capable of mediating the transition of the setting and following the patient in their home care. To have an overview of the current state of activities outside the hospital, distributed across the national territory, we conducted an online survey addressed to all Italian Society of Geriatrics Hospital and Territory (SIGOT) out-of-hospital members by email and disseminated it using SIGOT social channels. The questionnaire, available from June to September 2024, specifically addressed general characteristics/demographics of the members and the peculiarities of the activities inherent to home visits, multidimensional assessment, telemedicine, contact and collaboration with the general practitioner, and personal opinions (free field). A total of 67 out-of-hospital geriatricians responded to the survey. The results emphasize the specificity of the out-of-hospital geriatrician’s role and underline the collaboration between geriatricians and general practitioners, the importance of the Comprehensive Geriatric Assessment, and the relevance of domiciliary care. At the same time, this survey points out some critical issues, such as the lack of development of telemedicine in clinical practice and a long waiting time for a programmable (P-priority) first geriatric visit.
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spelling doaj-art-3ed1b2c3ae3a4e30a572ecfb00a839342025-08-20T03:16:00ZengPAGEPress PublicationsGeriatric Care2465-11092465-13972025-07-0111210.4081/gc.2025.13405Clinical activities of out-of-hospital Italian public geriatrics: a survey of members of the Italian Society of Geriatrics Hospital and TerritoryMariagiovanna Cozza0Ciro Manzo1Alberto Castagna2Maurizio Gallucci3Filippo Fimognari4Lorenzo Palleschi5Unit of Intermediate-Long Term Care, Integration Department, Budrio Hospital, Local Health Unit of BolognaInternal and Geriatric Medicine Department, Regional Health Authority Naples 3, Naples; Geriatric Outpatient Clinic, Health District No. 51, Pomigliano d’ArcoDepartment of Primary Care, Health District of Soverato, Provincial Health Company of CatanzaroMemory Clinic, Giovanni XXIII Hospital, Monastier di Treviso; Foundation for Interdisciplinary Geriatric Research, TrevisoUnit of Geriatrics, Department of Medicine, Azienda Ospedaliera di CosenzaUnit of Geriatrics, Medical Department, San Giovanni Addolorata Hospital, Rome The out-of-hospital public geriatrician is a key professional figure to address the challenges of the complexity of old patients and to act as a bridge between general and local medical services and increasingly crowded hospitals. This is a distinctive geriatrician in Italy who works mostly in the territory and intermediate care, capable of mediating the transition of the setting and following the patient in their home care. To have an overview of the current state of activities outside the hospital, distributed across the national territory, we conducted an online survey addressed to all Italian Society of Geriatrics Hospital and Territory (SIGOT) out-of-hospital members by email and disseminated it using SIGOT social channels. The questionnaire, available from June to September 2024, specifically addressed general characteristics/demographics of the members and the peculiarities of the activities inherent to home visits, multidimensional assessment, telemedicine, contact and collaboration with the general practitioner, and personal opinions (free field). A total of 67 out-of-hospital geriatricians responded to the survey. The results emphasize the specificity of the out-of-hospital geriatrician’s role and underline the collaboration between geriatricians and general practitioners, the importance of the Comprehensive Geriatric Assessment, and the relevance of domiciliary care. At the same time, this survey points out some critical issues, such as the lack of development of telemedicine in clinical practice and a long waiting time for a programmable (P-priority) first geriatric visit. https://www.pagepressjournals.org/gc/article/view/13405Out-of-hospital geriatriciancomprehensive multidimensional assessmenttelemedicinehome visits
spellingShingle Mariagiovanna Cozza
Ciro Manzo
Alberto Castagna
Maurizio Gallucci
Filippo Fimognari
Lorenzo Palleschi
Clinical activities of out-of-hospital Italian public geriatrics: a survey of members of the Italian Society of Geriatrics Hospital and Territory
Geriatric Care
Out-of-hospital geriatrician
comprehensive multidimensional assessment
telemedicine
home visits
title Clinical activities of out-of-hospital Italian public geriatrics: a survey of members of the Italian Society of Geriatrics Hospital and Territory
title_full Clinical activities of out-of-hospital Italian public geriatrics: a survey of members of the Italian Society of Geriatrics Hospital and Territory
title_fullStr Clinical activities of out-of-hospital Italian public geriatrics: a survey of members of the Italian Society of Geriatrics Hospital and Territory
title_full_unstemmed Clinical activities of out-of-hospital Italian public geriatrics: a survey of members of the Italian Society of Geriatrics Hospital and Territory
title_short Clinical activities of out-of-hospital Italian public geriatrics: a survey of members of the Italian Society of Geriatrics Hospital and Territory
title_sort clinical activities of out of hospital italian public geriatrics a survey of members of the italian society of geriatrics hospital and territory
topic Out-of-hospital geriatrician
comprehensive multidimensional assessment
telemedicine
home visits
url https://www.pagepressjournals.org/gc/article/view/13405
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