Ribera Casado José Manuel, Cruz Jentoft Alfonso J
Catedrático emérito de geriatría de la Universidad Complutense de Madrid, Académico de número de la Real Academia Nacional de Medicina de España, Madrid, España.
Académico correspondiente de la RANME, Jefe del servicio de Geriatría del Hospital Universitario Ramón y Cajal, Madrid, España.
Rev Esp Geriatr Gerontol. 2025 Mar-Apr;60(2):101626. doi: 10.1016/j.regg.2025.101626. Epub 2025 Jan 31.
Geriatrics is the medical specialty that cares for health problems of older persons, including acute care, chronic care and rehabilitation, in various settings such as the community, hospitals and long-term care. This article analyzes the situation of geriatric medicine in Spain before and after the COVID-19 pandemic, highlighting the challenges and changes needed to improve geriatric care in the future. The first part of this paper describes the main landmarks of the Spanish health system. In 1986, a key law (Ley General de Sanidad) was approved by the Spanish Parliament, launching the development of the national health care system. In parallel, we describe and comment the development of geriatrics in Spain along this period is described. Later, the interactions between the health system and geriatrics along the next decades is reported, using 2020 (when started the COVID-19 pandemic started) as deadline of our past history. In the second part, the most important characteristics of the current situation of Spanish and European geriatric medicine are described, in order to propose ideas on how geriatric care can be designed and reimagined in the future.
老年医学是一门关注老年人健康问题的医学专业，包括急性护理、慢性护理和康复，涉及社区、医院和长期护理等各种环境。本文分析了西班牙在新冠疫情前后的老年医学状况，强调了未来改善老年护理所需面对的挑战和变革。本文第一部分介绍了西班牙卫生系统的主要里程碑。1986年，西班牙议会通过了一项关键法律（《卫生总法》），开启了国家医疗保健系统的发展进程。与此同时，本文描述并评论了这一时期西班牙老年医学的发展情况。随后，本文以2020年（新冠疫情开始之时）作为过去历史的截止时间，报告了接下来几十年卫生系统与老年医学之间的相互作用。在第二部分，描述了西班牙和欧洲老年医学现状的最重要特征，以便就未来如何设计和重新构想老年护理提出想法。
