Schoon Yvonne, van Iersel Marianne B, Jacobsen Didy E, Smit Jan W A, de Boer Menko-Jan, Olde Rikkert Marcel G M
UMC St Radboud, Nijmegen.
Ned Tijdschr Geneeskd. 2013;157(34):A6224.
Hospital care is highly disease-focused, tending towards further specialisation, and largely driven by technological innovations. Frail elderly, however, are an important and rapidly growing group of patients that is not best cared for in such a clinical environment. Case histories and the description of outcomes of an innovative programme called 'CareWell Primary Care' reveal that triage based on frailty and a global geriatric assessment of frail patients which is linked to goal-oriented hospital care and shared decision-making are the cornerstones of much needed improvement in delivering effective, safe, and sustainable hospital care to our ageing population.
医院护理高度以疾病为中心，倾向于进一步专业化，并且在很大程度上由技术创新驱动。然而，体弱的老年人是一个重要且迅速增长的患者群体，在这样的临床环境中并不能得到最好的护理。一个名为“关爱健康初级护理”的创新项目的病历和结果描述表明，基于体弱程度的分诊以及对体弱患者进行全面的老年医学评估，并将其与以目标为导向的医院护理和共同决策相联系，是为我们老龄化人口提供有效、安全和可持续医院护理所需改进的基石。
