Geriatrician Roles and the Value of Geriatrics in an Evolving Healthcare System


Timothy Bates,  Aubri Kottek and Joanne Spetz

July 8, 2019

There are insufficient numbers of practicing geriatricians to meet current demand for their services, and the shortage is projected to worsen in the coming decades as the number of older Americans rapidly increases. Understanding how to best leverage geriatricians as members of an overall care team is critical. This report is the second component of a two-stage project examining current and emerging roles for geriatricians. The first report, The Roles and Value of Geriatricians in Healthcare Teams: A Landscape Analysis, provided a comprehensive review of the current landscape, derived from scholarly work assessing the status of the geriatrician workforce, how healthcare organizations are currently utilizing geriatricians, and how the landscape is changing.

This study focuses on information solicited from leaders in geriatrics as to how different types of healthcare organizations utilize geriatricians and how geriatrician roles may evolve and new roles emerge as healthcare systems and organizations reorganize care in response to a changing environment.

Key Questions:

  • How are different types of healthcare organizations utilizing geriatricians to maximize their expertise?
  • How is value-based care influencing healthcare organizations’ use of geriatric care models?
  • Are changes in how care to older adults is organized and delivered having an impact on fellowship training or professional development opportunities?