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电梯不误层:将退伍军人事务部打造成为关爱老年健康体系的愿景。

No Wrong Floor on the Elevator: A Vision for the VA as an Age-Friendly Health System.

作者信息

Schwartz Andrea Wershof

机构信息

New England Geriatrics Research Education and Clinical Center, Veterans Affairs Boston Healthcare System, Massachusetts.

出版信息

Fed Pract. 2023 Mar;40(3):98-100. doi: 10.12788/fp.0368. Epub 2023 Mar 14.

Abstract

BACKGROUND

The Age-Friendly Health Systems Initiative is a quality improvement movement led by the Institute for Healthcare Improvement and supported by the John A. Hartford Foundation to improve care for older adults. The US Department of Veterans Affairs (VA) has set a goal to become the largest integrated Age-Friendly Health System in the United States.

OBSERVATIONS

As the veteran population ages, delivering Age-Friendly care is an urgent priority. VA clinicians should apply the 4Ms of the Age-Friendly Health Systems Initiative: Mobility, Mentation, Medications, and What Matters.

CONCLUSIONS

No matter which floor a veteran exits on a VA elevator, they should expect to receive Age-Friendly care that will meet their needs as they age.

摘要

背景

“关爱老年健康系统倡议”是一项由医疗改进研究所牵头、约翰·A·哈特福德基金会支持的质量改进运动,旨在改善对老年人的护理。美国退伍军人事务部(VA)设定了一个目标,要成为美国最大的综合性关爱老年健康系统。

观察结果

随着退伍军人人口老龄化,提供关爱老年的护理成为当务之急。VA的临床医生应应用“关爱老年健康系统倡议”的4M原则:行动能力、认知能力、药物治疗和重要事项。

结论

无论退伍军人从VA的哪一层电梯出来,他们都应期望获得能满足其老年需求的关爱老年的护理。

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本文引用的文献

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Mobility Assessment in Older Adults.老年人的活动能力评估
N Engl J Med. 2021 Aug 19;385(8):e22. doi: 10.1056/NEJMvcm2009406.

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