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Updated: Sep 8, 2025
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Assessment of Dependence in Activities of Daily Living Among Older Patients in an Acute Care Unit
Published on: September 30, 2020
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Quo vadis geriatric rehabilitation?
Clemens Becker1,2, Wilco Achterberg3
1Department of Clinical Gerontology, Robert-Bosch-Krankenhaus, Stuttgart, Germany.
Age and Ageing
|June 13, 2022
Summary
Healthcare systems face challenges in caring for older adults due to demographic shifts and resource shortages. Geriatric rehabilitation must adapt to ensure independence and autonomy for aging populations in Europe.
Area of Science:
- Geriatric Medicine
- Healthcare Management
- Public Health Policy
Background:
- European healthcare systems face sustainability issues concerning the older population.
- Focus on COVID-19 overshadows other critical challenges impacting geriatric care.
- Demographic demand and resource limitations pose significant threats to healthcare systems.
Purpose of the Study:
- To analyze the disruptive changes facing geriatric care and rehabilitation.
- To identify the essential contributions of geriatric rehabilitation in the 2020s.
- To discuss priorities for value-based healthcare for older adults, including equity and access.
Main Methods:
- Commentary based on recent book chapters and articles.
- Analysis of demographic trends and workforce transitions in healthcare.
- Review of current healthcare models and their impact on older citizens' autonomy.
Main Results:
- A significant portion of the older health workforce is retiring, risking expertise loss.
- Healthcare systems often prioritize fee-for-service over systemic approaches for independence.
- Brain drain of healthcare workers is decreasing, but resource shortages persist.
Conclusions:
- Geriatric rehabilitation must evolve to address the complex needs of an aging population.
- Urgent decisions are needed on value-based healthcare priorities like equity and access.
- Systemic approaches are necessary to maximize the independence and autonomy of older citizens.
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