Geriatrics Division, Duke University, Duke University Medical Center, Box 3003, Durham, NC 27710, USA.
Geriatrics Division, Duke University, Duke University Medical Center, Box 3003, Durham, NC 27710, USA. Electronic address: https://twitter.com/serenawongs.
Clin Geriatr Med. 2020 Nov;36(4):697-711. doi: 10.1016/j.cger.2020.06.011. Epub 2020 Aug 17.
This article explores the role of prevention in healthy aging from the perspective of individualized prevention in the clinic and population-based prevention with system-level support. The traditional medical model has significant limitations to effectively target impactful outcomes related to geriatric syndromes that encompass debility, frequent hospitalizations, loss of independence, and disease progression. This article reviews aspects of the clinic visit and subsequent interventions, such as immunizations and screenings, that promote disease and disability prevention. Finally, we review the value of Population Health Management as a model of care for delivering population-based, system-level supported, patient-centered health care plans.
本文从临床个体化预防和系统层面支持的人群预防角度探讨了健康老龄化的作用。传统的医疗模式在有效针对与老年综合征相关的有影响力的结果方面存在显著局限性，老年综合征包括虚弱、频繁住院、丧失独立性和疾病进展。本文回顾了临床就诊和随后干预措施的各个方面，如免疫接种和筛查，这些措施可促进疾病和残疾预防。最后，我们回顾了人口健康管理作为一种提供基于人群、系统层面支持、以患者为中心的医疗保健计划的护理模式的价值。
