Fiehn C
Rheumazentrum Baden-Baden, Rotenbachtalstrasse 5, 76530 Baden-Baden.
Z Rheumatol. 2006 Oct;65(6):472, 474-7, 479-81. doi: 10.1007/s00393-006-0100-1.
Elder patients with comorbidities are a rapidly growing population for in- and outpatient care. Diagnosis, treatment and integrated care are challenges which are only met by a multidisciplinary approach, which includes specialists from different medical professions and health professionals. A high number of comorbidities are a risk factor for drug interactions and fragmentisation of patient care between different medical disciplines. This is in particular relevant for patients with rheumatic diseases. So far it is not known whether treatment strategies such as the aim of remission induction in RA can be transferred as it is to the care of elder patients. Moreover, the safety and effectiveness of drugs used for the treatment of rheumatology patients has not yet been intensively studied. To meet the challenge of the care of a growing group of elder and multimorbid patients with rheumatic diseases, the reimbursement systems for in- and outpatient care must be adapted to allow multidisciplinary approaches. A concept for such a multidisciplinary procedure for inpatients with rheumatic diseases is introduced.
患有合并症的老年患者在门诊和住院治疗方面是一个快速增长的群体。诊断、治疗和综合护理是挑战，只有通过多学科方法才能应对，该方法包括来自不同医学专业的专家和健康专业人员。大量合并症是药物相互作用以及不同医学学科之间患者护理碎片化的危险因素。这对于风湿病患者尤为重要。到目前为止，尚不清楚类风湿关节炎中诱导缓解等治疗策略是否可以直接应用于老年患者的护理。此外，用于治疗风湿病患者的药物的安全性和有效性尚未得到深入研究。为应对照顾越来越多患有风湿病的老年和多病患者这一挑战，门诊和住院治疗的报销系统必须进行调整，以允许采用多学科方法。本文介绍了一种针对风湿病住院患者的多学科程序概念。
