[An experimental approach in territorialization by re-grouping geriatric care in Nord Pas de Calais]

The ageing population is an important public health issue for our health system which is poorly adapted for this group because it is conceived primarily for managing acute issues and not as prepared for dealing with chronic disease. Elderly people require continuous care, including attention to geographic proximity of services and a holistic approach to care. Appropriate geriatric care necessitates the active contribution of all health actors including prevention and re-adaptation. This kind of organisation of work must incorporate an adequate delineation of the health territory and a corresponding plan in which all responses are readily available and accessible. We propose the application of geriatric managed care through the implementation of the third generation of the national health plan to respond to this issue. This experience at the regional level is described and outlined, as well as the relevant reflections and learning outcomes that can be extracted.