Vetel J M
Centre de gérontologie clinique, centre hospitalier du Mans.
Rev Prat. 1990 Nov 21;40(27):2525-31.
Nowadays (and prior to any hospital reform), geriatric hospital structures rest on medium or long length stay units and on acute geriatry departments when these are available. However, to limit relations between hospital and the elderly to these three structures would be an oversimplification. The organization of emergency admission units for the elderly, the medico-social preparation of these patients before they return home, the setting up of geriatric consultations in both out-patient clinics and specialized hospital departments are all major topics not to be neglected. Moreover, geriatric day-hospitals offer hospital treatment without accommodation which is a solution desired by many old people. What can be suggested for the mentally deficient or demented old patient admitted to a hospital, if not the cooperative efforts of geriatric and psychiatric teams working in suitable architectural structures? Finally, we must insist on the need for coordination between hospital and non-hospital structures, so that the entire "geriatric network" becomes reality without any break in care between structures.
如今（以及在任何医院改革之前），老年医院的架构基于中长期住院单元，若有急性老年病科，也依托于此。然而，将医院与老年人之间的关系局限于这三种架构，未免过于简单化。老年急诊入院单元的组织、这些患者回家前的医疗社会准备、门诊和专科医院科室中设立老年病咨询，都是不可忽视的重要议题。此外，老年日间医院提供无需住院的医院治疗，这是许多老年人所期望的解决方案。对于入住医院的智力缺陷或痴呆老年患者，若没有老年病科和精神科团队在合适建筑结构中协同努力，又能有什么建议呢？最后，我们必须强调医院与非医院架构之间协调的必要性，以便整个“老年网络”成为现实，各架构之间的护理无缝衔接。
