Oostvogel F J
Tijdschr Gerontol Geriatr. 1982 Feb;13(1):16-9.
The medical care for elderly people could be greatly improved. If no specific attention is paid immediately, namely through the various training courses and by way of further and part-time schooling, then this medical care will remain unsatisfactory. This situation worsens continually due to the growing number of elderly people and, within this group, a much higher rate of very aged people. Increasing the care in institutions is altogether unsatisfactory. The problem should be dealt with structurally and the emphasis placed upon prevention and early-diagnosis. There is an urgent need for an integrated method, keeping in mind the limits of the elderly person, from the physical, psychological and social aspects. This demands teamwork in a multidisciplinary system inside as well as outside the institutions. It demands a thorough knowledge of geriatrics based upon gerontology. Geriatricians are urgently needed in this development together with doctors in nursing homes, general practitioners and specialists, so that the necessary care may be established as quickly as possible.
老年人的医疗护理可以得到极大改善。如果不立即给予特别关注,即通过各种培训课程以及继续教育和兼职学习的方式,那么这种医疗护理仍将不尽人意。由于老年人数量不断增加,且在这一群体中高龄老人的比例更高,这种情况持续恶化。增加机构护理总体上并不令人满意。这个问题应从结构上加以解决,并将重点放在预防和早期诊断上。迫切需要一种综合方法,从身体、心理和社会层面考虑到老年人的局限性。这需要机构内外多学科系统的团队合作。这需要基于老年学的全面老年医学知识。在这一发展过程中,迫切需要老年医学专家以及养老院医生、全科医生和专科医生,以便尽快建立必要的护理。