ORIGINAL RESEARCH article
Front. Med.
Sec. Geriatric Medicine
Volume 12 - 2025 | doi: 10.3389/fmed.2025.1635751
Status of comprehensive geriatric assessment in hospital Settings: a cross-sectional survey
Provisionally accepted
Hong Lyu1
Yan Dong1*Rui Chen1Yan Zeng1Jia Liu1
Xinhong Song1Huihui Wang1Liqun Xing2Xin Zhang1Ying Wang1- 1Shandong Provincial Hospital, Jinan, China
- 2Shandong Public Health Clinical Center, Ji Nan, China
Select one of your emails
You have multiple emails registered with Frontiers:
Notify me on publication
Please enter your email address:
If you already have an account, please login
You don't have a Frontiers account ? You can register here
Abstract Background: The Comprehensive Geriatric Assessment (CGA) serves as a crucial multidimensional instrument for optimizing care within aging populations. Despite its demonstrated benefits, there remain significant implementation gaps in China, particularly within Shandong Province. This study examines the current status, facilitators, and barriers to CGA implementation from the perspective of geriatric nurse specialists (GNS). Methods: A cross-sectional survey was administered to 200 GNS trained by the Shandong Nursing Association between 2018 and 2022. Data collection was conducted using a validated questionnaire grounded in the Unified Theory of Acceptance and Use of Technology (UTAUT) framework. Statistical analyses were performed using chi-square tests and odds ratio (OR), with significance set at p < 0.05. Results: CGA implementation was observed in only 50.50% of medical institutions. Key facilitators included Hospital level (secondary/tertiary: OR = 5.30, 95% CI: 2.29–12.25), Staff training (OR = 5.39, 95% CI: 1.75–16.56), Dedicated CGA personnel (OR = 3.41, 95% CI: 1.86–6.24), Interventions based on CGA results (OR = 7.34, 95% CI: 2.44–22.12). Unexpectedly, GNS certification (OR = 0.44, 95% CI: 0.21–0.91) appeared to impede implementation. The primary barriers identified were the time-intensive nature of the process (64%), insufficient involvement of multidisciplinary teams (62%), and the absence of insurance reimbursement (48%). 3 Conclusion: The adoption of CGA in Shandong remains below optimal levels. To enhance implementation, it is imperative to develop policy-driven strategies that include integrating CGA into insurance reimbursement frameworks, standardizing digital workflows, expanding multidisciplinary teams, and addressing workforce shortages through targeted training initiatives.
Keywords: Comprehensive Geriatric Assessment, Older person, Geriatric nurses, Medical institution, Aging
Received: 05 Jun 2025; Accepted: 08 Sep 2025.
Copyright: © 2025 Lyu, Dong, Chen, Zeng, Liu, Song, Wang, Xing, Zhang and Wang. This is an open-access article distributed under the terms of the Creative Commons Attribution License (CC BY). The use, distribution or reproduction in other forums is permitted, provided the original author(s) or licensor are credited and that the original publication in this journal is cited, in accordance with accepted academic practice. No use, distribution or reproduction is permitted which does not comply with these terms.
* Correspondence: Yan Dong, Shandong Provincial Hospital, Jinan, China
Disclaimer: All claims expressed in this article are solely those of the authors and do not necessarily represent those of their affiliated organizations, or those of the publisher, the editors and the reviewers. Any product that may be evaluated in this article or claim that may be made by its manufacturer is not guaranteed or endorsed by the publisher.