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Perspective: transforming chronic care for older persons.

Chad Boult¹, Colleen Christmas, Samuel C Durso

¹Roger C. Lipitz Center for Integrated Health Care, Department of Health Policy and Management, Bloomberg School of Public Health, Johns Hopkins University, Baltimore, Maryland 21205, USA. cboult@jhsph.edu

Academic Medicine : Journal of the Association of American Medical Colleges

|June 27, 2008

Summary

The aging baby boomer generation requires a transformation in chronic care for older persons. Academic medicine leaders must advance geriatrics as a collaborative discipline to ensure high-quality, cost-effective care for all Americans.

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Area of Science:

Geriatric Medicine
Healthcare Systems Transformation
Medical Education Reform

Background:

The aging "baby boom" generation presents a significant challenge to the U.S. healthcare system due to increasing morbidity.
Current healthcare models may be insufficient to manage the chronic care needs of the growing elderly population.
A proactive strategy is essential to prevent the healthcare system from being overwhelmed.

Purpose of the Study:

To propose a new approach for transforming chronic care for older adults.
To outline strategies for increasing the number of physicians skilled in geriatric chronic care.
To advocate for the adoption of innovative, high-quality, and cost-effective chronic care models.

Main Methods:

Recommending academic medicine leaders foster geriatrics as a collaborative discipline.
Advocating for collaboration between geriatrics, primary care, and specialty disciplines.
Promoting rigorous chronic care training across all levels of medical education.

Main Results:

This strategy aims to leverage geriatric educator-leaders to transform chronic care.
It seeks to make high-quality, cost-effective chronic care accessible to most chronically ill Americans within 20 years.
Successful implementation requires commitment from various stakeholders including academic institutions and policymakers.

Conclusions:

Transforming chronic care requires a concerted effort to enhance geriatric education and practice.
Collaboration and innovation in medical education are key to meeting the needs of the aging population.
A committed, multi-stakeholder approach can ensure accessible and effective chronic care for older adults.