The purpose of this study was to evaluate high-risk older adults' sati
sfaction with outpatient geriatric evaluation and management (GEM). Co
mmunity-dwelling Medicare beneficiaries (n = 522) age 70 years and old
er who had a high probability of repeated admission to hospitals (P-ra
> .40) were randomly assigned to receive either usual care or GEM for
six months. Despite the stresses imposed by outpatient GEM (e.g., new
relationships with providers, frequent office visits and changes in t
reatments), the mean satisfaction scores of the recipients of GEM were
9% higher than those of the recipients of usual care (4.31 vs 3.96, p
< .001). The primary physicians of GEM recipients were also highly sa
tisfied with GEM care.