Switzer Julie A, Bozic Kevin J, Kates Stephen L
1Department of Orthopaedic Surgery, Regions Hospital, University of Minnesota, Saint Paul, Minnesota 2Department of Surgery, Dell Medical School, University of Texas at Austin, Austin, Texas 3Department of Orthopaedic Surgery, Virginia Commonwealth University, Richmond, Virginia.
J Bone Joint Surg Am. 2017 Apr 19;99(8):e40. doi: 10.2106/JBJS.16.00482.
The population of the United States and the world is aging rapidly. Musculoskeletal care for older adults will be impacted by the manner in which health care is financed and the ability of the orthopaedic community to provide evidence-based integrated care for this population. We review the financial aspects of health-care reform and the implications for musculoskeletal care in the elderly. We discuss the establishment of quality measures for hip fracture care in the elderly, team building to accomplish this, and an innovative program designed to provide orthopaedic care to the frail elderly outside of the usual office setting.
美国及全球人口正在迅速老龄化。老年人的肌肉骨骼护理将受到医疗保健融资方式以及骨科界为该人群提供循证综合护理能力的影响。我们回顾了医疗保健改革的财务方面及其对老年人肌肉骨骼护理的影响。我们讨论了老年人髋部骨折护理质量指标的建立、为实现这一目标的团队建设，以及一项旨在为体弱老年人在常规门诊环境之外提供骨科护理的创新项目。
