Denkinger Michael, Wirth Rainer, van den Heuvel Dirk, Leinert Christoph, Gosch Markus
Geriatrisches Zentrum an der AGAPLESION Bethesda Klinik Ulm, Zollernring 26, 89073, Ulm, Deutschland.
Institut für Geriatrische Forschung, Universitätsklinikum Ulm, Ulm, Deutschland.
Inn Med (Heidelb). 2024 Sep;65(9):880-889. doi: 10.1007/s00108-024-01758-4. Epub 2024 Aug 9.
Geriatrics can enable and monitor a holistic care of older people through a comprehensive geriatric assessment in a structured way. Therefore, it must be integrated much more closely with preventive, rehabilitative and acute care units. Geriatrics are not seen in any aspects as a replacement for general practitioners or in-hospital structures but much more as a supplement to them. With its function-oriented concept, geriatrics can best coordinate the demographically necessary triage between prevention, acute treatment, rehabilitation and palliative care, thus avoiding undertreatment and overtreatment. This can only succeed in collaboration with general practitioners and specialist colleagues. The article categorizes geriatric care structures, such as preventive home visits, acute complex medical treatment, delirium prevention, outpatient and inpatient rehabilitation services based on a case example and makes proposals for structural changes that urgently need to be considered in the current healthcare reform, such as outpatient geriatric centers (AGZ).
老年医学可以通过结构化的综合老年医学评估，实现并监测对老年人的整体护理。因此，它必须与预防、康复和急症护理部门更紧密地整合。老年医学在任何方面都不被视为全科医生或医院机构的替代品，而更多地是作为它们的补充。凭借其以功能为导向的理念，老年医学能够最好地协调人口结构所需的预防、急性治疗、康复和姑息治疗之间的分诊，从而避免治疗不足和过度治疗。这只有在与全科医生和专科同事合作的情况下才能成功。本文基于一个案例对老年护理结构进行了分类，如预防性家访、急性综合医疗、谵妄预防、门诊和住院康复服务，并针对当前医疗改革中迫切需要考虑的结构变革提出了建议，如门诊老年医学中心（AGZ）。
