Johns Hopkins University School of Medicine, Baltimore, Maryland, USA.
Geriatric Medicine Associates, Westminster, Colorado, USA.
J Am Geriatr Soc. 2022 Jul;70(7):1960-1972. doi: 10.1111/jgs.17811. Epub 2022 Apr 29.
As people age, they are more likely to have an increasing number of medical diagnoses and medications, as well as healthcare providers who care for those conditions. Health professionals caring for older adults understand that medical issues are not the sole factors in the phenomenon of this "care complexity." Socioeconomic, cognitive, functional, and organizational factors play a significant role. Care complexity also affects family caregivers, providers, and healthcare systems and therefore society at large. The American Geriatrics Society (AGS) created a work group to review care to identify the most common components of existing healthcare models that address care complexity in older adults. This article, a product of that work group, defines care complexity in older adults, reviews healthcare models and those most common components within them and identifies potential gaps that require attention to reduce the burden of care complexity in older adults.
随着人们年龄的增长，他们更有可能被诊断出越来越多的疾病，服用越来越多的药物，也会有越来越多的医疗保健提供者来照顾这些疾病。照顾老年人的健康专业人员明白，医疗问题并不是这一“护理复杂性”现象的唯一因素。社会经济、认知、功能和组织因素也起着重要作用。护理复杂性也会影响到家庭照顾者、提供者和医疗保健系统，从而影响整个社会。美国老年医学会（AGS）成立了一个工作组来审查护理工作，以确定现有医疗模式中最常见的、用于解决老年人护理复杂性的组成部分。本文是该工作组的一项成果，它定义了老年人的护理复杂性，回顾了医疗保健模式以及这些模式中最常见的组成部分，并确定了需要关注的潜在差距，以减轻老年人护理复杂性的负担。
