COVID-19 outbreak: organisation of a geriatric assessment and coordination unit. A French example

Autor: Nicolas Becoulet, Kevin Bouiller, Séverine Koeberle, Thomas Tannou, Catherine Chirouze, Régis Aubry, Justin Outrey
Přispěvatelé: Centre Hospitalier Régional Universitaire de Besançon (CHRU Besançon), Laboratoire de Neurosciences Intégratives et Cliniques - UFC (EA 481) (NEURO), Université de Franche-Comté (UFC), Université Bourgogne Franche-Comté [COMUE] (UBFC)-Université Bourgogne Franche-Comté [COMUE] (UBFC), Laboratoire Chrono-environnement - CNRS - UBFC (UMR 6249) (LCE), Centre National de la Recherche Scientifique (CNRS)-Université de Franche-Comté (UFC)
Jazyk: angličtina
Rok vydání: 2020
Předmět:
Aging
Palliative care
Health Services for the Aged
MESH: Coronavirus Infections
Quality Improvement Report
COVID19
MESH: Semantic Web
Vulnerability
Regional Medical Programs
Community Networks
MESH: Health Services for the Aged
older people
0302 clinical medicine
Multidisciplinary approach
Health care
MESH: COVID-19
Medicine
030212 general & internal medicine
MESH: Geriatric Assessment
MESH: Aged
Geriatrics
Health Care Rationing
palliative care
healthcare organisation
MESH: Community Networks
General Medicine
Organizational Innovation
3. Good health
[SDV.MP]Life Sciences [q-bio]/Microbiology and Parasitology
MESH: Betacoronavirus
Holistic management
MESH: Palliative Care
France
Coronavirus Infections
0305 other medical science
MESH: Pandemics
medicine.medical_specialty
Pneumonia
Viral
MESH: Organizational Innovation
Unit (housing)
Betacoronavirus
03 medical and health sciences
MESH: Patient Care Management
Nursing
Stakeholder Participation
030502 gerontology
Intensive care
Humans
MESH: SARS-CoV-2
Geriatric Assessment
Pandemics
Aged
Semantic Web
MESH: Humans
geriatrics
SARS-CoV-2
business.industry
COVID-19
MESH: Stakeholder Participation
decision-making
ethics
Patient Care Management
MESH: France
Ageing
MESH: Pneumonia
Viral
MESH: Regional Medical Programs
Geriatrics and Gerontology
business
MESH: Health Care Rationing
[SDV.MHEP]Life Sciences [q-bio]/Human health and pathology
Zdroj: Age and Ageing
Age and Ageing, Oxford University Press (OUP), 2020, 49 (4), pp.516-522. ⟨10.1093/ageing/afaa092⟩
ISSN: 1468-2834
0002-0729
DOI: 10.1093/ageing/afaa092
Popis: Older people are particularly affected by the COVID-19 outbreak because of their vulnerability as well as the complexity of health organisations, particularly in the often-compartmentalised interactions between community, hospital and nursing home actors. In this endemic situation, with massive flows of patients requiring holistic management including specific and intensive care, the appropriate assessment of each patient’s level of care and the organisation of specific networks is essential. To that end, we propose here a territorial organisation of health care, favouring communication between all actors. This organisation of care is based on three key points: To use the basis of territorial organisation of health by facilitating the link between hospital settings and geriatric sectors at the regional level. To connect private, medico-social and hospital actors through a dedicated centralised unit for evaluation, geriatric coordination of care and decision support. A geriatrician coordinates this multidisciplinary unit. It includes an emergency room doctor, a supervisor from the medical regulation centre (Centre 15), an infectious disease physician, a medical hygienist and a palliative care specialist. To organise an ad hoc follow-up channel, including the necessary resources for the different levels of care required, according to the resources of the territorial network, and the creation of a specific COVID geriatric palliative care service. This organisation meets the urgent health needs of all stakeholders, facilitating its deployment and allows the sustainable implementation of a coordinated geriatric management dynamic between the stakeholders on the territory.
Databáze: OpenAIRE
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