Implementation of geriatric care models in Europe (imAGE.eu): a cross-sectional survey in eight countries.

Autor: Deschodt M; Gerontology and Geriatrics, Department of Chronic Diseases, Metabolism and Ageing, KU Leuven - University of Leuven, Herestraat 49, 3000, Leuven, Belgium. mieke.deschodt@kuleuven.be.; Nursing Science, Department of Public Health, University of Basel, Bernoullistrasse 28, 4056, Basel, Switzerland. mieke.deschodt@kuleuven.be., Boland B; Geriatric Medicine, Cliniques Universitaires Saint-Luc & Research Institute of Health and Society, UCLouvain, Louvain-La-Neuve, Belgium., Lund CM; Danish Geriatric Society & Herlev and Gentofte, Copenhagen University Hospital, Herlev Ringvej 75, 2730, Herlev, Denmark., Saks K; Estonian Association of Gerontology and Geriatrics (EGGA) & University of Tartu, Puusepa 8, L6027, 51014, Tartu, Estonia., Velonaki VS; Hellenic Association of Gerontology and Geriatrics (HAGG), Kaniggos 23, 106 77, Athens, Greece., Samuelsson O; The Icelandic Geriatrics Society & Landspitali University Hospital, Hringbraut 101, Reykjavík, Iceland., Kennelly S; Irish Society of Physicians in Geriatric Medicine & Department of Age-related Healthcare, Tallaght University Hospital, Dublin, Ireland., Vassallo MA; Geriatric Medicine Society of Malta & Telghet G'Mangia, Rehabilitation Hospital Karin Grech, Pietà, Malta., Veninšek G; Slovene Geriatric Medicine Society & Geriatric Medicine Unit, Division of Internal Medicine, University Medical Centre Ljubljana, Vodnikova 62, 1000, Ljubljana, Slovenia., Flamaing J; Gerontology and Geriatrics, Department of Chronic Diseases, Metabolism and Ageing, KU Leuven - University of Leuven, Herestraat 49, 3000, Leuven, Belgium.; Belgian Society for Gerontology and Geriatrics & Department of Geriatric Medicine, University Hospitals Leuven, Herestraat 49, 3000, Louvain, Belgium.
Jazyk: angličtina
Zdroj: European geriatric medicine [Eur Geriatr Med] 2018 Dec; Vol. 9 (6), pp. 771-782. Date of Electronic Publication: 2018 Sep 07.
DOI: 10.1007/s41999-018-0107-6
Abstrakt: Purpose: Despite the beneficial impact of comprehensive geriatric assessment (CGA) for older patients in the hospital, it is not clear to what extent these models have been implemented in European hospitals. This study aims to map the implementation status of CGA-based models of care in general hospitals in Europe.
Methods: A cross-sectional survey study was conducted in autumn 2017 to map the implementation status of CGA-based care models in general hospitals (n = 178) in Belgium, Denmark, Estonia, Greece, Iceland, Ireland, Malta, and Slovenia.
Results: Acute geriatric units are implemented in all of the Belgian and the majority of Danish hospitals, but are scarce in Malta, Estonia, Slovenia and Greece. Geriatric rehabilitation units are most common in Ireland (63.6%) and Iceland (75%). In-hospital multidisciplinary geriatric consultation teams are widely implemented in Belgium (100%), Ireland (72.7%) and Denmark (59.1%), but are rare in Malta, Iceland, Estonia and Greece. Transitional care programs to ensure continuity of care after discharge are present in 60.1% of all hospitals. The intention to implement any of these care models in the next 5 years ranges from 10.3 to 25.4% and is the highest for co-management (36.5%), systematic screening of ED patients (36.2%) and transitional care programs (29.6%).
Conclusions: A great variety in the implementation of CGA-based care models was observed among the surveyed EU countries with the uptake being the highest in Belgium, Denmark and Ireland. A supportive legislative framework and a residency training in geriatrics favor the implementation of the geriatric care models.
(© 2018. European Geriatric Medicine Society.)
Databáze: MEDLINE
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