On Lok Senior Health by Institute of Aging, 3575 Geary Boulevard, San Francisco, CA 94118, USA.
Division of General Internal Medicine, Department of Medicine, University of Washington, 1959 NE Pacific Street, Box 356429, Seattle, WA 98195, USA.
Med Clin North Am. 2015 Mar;99(2):263-79. doi: 10.1016/j.mcna.2014.11.003. Epub 2015 Jan 10.
Geriatric assessment is an increasingly important area of outpatient medicine, given the unprecedented aging of the US population. Screening and evaluation for geriatric syndromes, particularly falls, urinary incontinence, frailty, and cognitive impairment, are crucial aspects of outpatient geriatric assessment. Innovative models of care are emerging to improve quality of care and enhance cost savings for the geriatric patient. High-value features of geriatric care systems include providing increased 24/7 access to care, a multidisciplinary team-based approach to care, performing medication reconciliation and comprehensive geriatric assessments, and integrating palliative care into treatment planning.
老年评估是门诊医学中一个日益重要的领域,这是由于美国人口的空前老龄化。对老年综合征(尤其是跌倒、尿失禁、虚弱和认知障碍)进行筛查和评估是门诊老年评估的重要方面。创新性的护理模式正在出现,以提高老年患者的护理质量并节省成本。老年护理系统的高价值特征包括提供更多的 24/7 护理服务、多学科团队的护理方法、进行药物重整和全面的老年评估,以及将姑息治疗纳入治疗计划。