New England Geriatric Research, Education and Clinical Center, Boston VA Healthcare System, Boston, Massachusetts, United States; Department of PM&R, Spaulding Rehabilitation Hospital, Boston, Massachusetts, United States; Harvard Medical School, Boston, Massachusetts, United States.
New England Geriatric Research, Education and Clinical Center, Boston VA Healthcare System, Boston, Massachusetts, United States; Harvard Medical School, Boston, Massachusetts, United States; Division of Aging, Brigham & Women's Hospital, Boston, Massachusetts, United States.
Arch Phys Med Rehabil. 2019 May;100(5):995-1000. doi: 10.1016/j.apmr.2018.12.038. Epub 2019 Feb 5.
Older adults are the fastest growing segment of our population and contribute greatly to the high costs of health care. The primary concern among older adults seeking health care is maintaining or improving functional independence. This concern is the focus of both rehabilitative care and geriatric medicine; however, collaboration between these fields can be hampered by a lack of mutual understanding of the fundamental principles of the other field. We describe 3 steps that can be implemented at an organizational or individual level to bridge the fields of geriatric medicine and rehabilitation, allowing them to better serve older patients. These include (1) recognizing the interwoven concepts of multimorbidity, function, and frailty; (2) communicating with a common language; and (3) synthesizing our knowledge from both fields.
老年人是人口增长最快的群体，对医疗保健的高成本做出了巨大贡献。寻求医疗保健的老年人最关心的问题是保持或提高功能独立性。这种关注是康复护理和老年医学的重点；然而，由于缺乏对对方领域基本原则的相互理解，这些领域之间的合作可能会受到阻碍。我们描述了可以在组织或个人层面实施的 3 个步骤，以弥合老年医学和康复领域之间的差距，使它们能够更好地为老年患者服务。这些步骤包括（1）认识到多病共存、功能和虚弱的交织概念；（2）用共同的语言进行沟通；（3）综合两个领域的知识。
