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The evolution of geriatric medicine
Journal of the American Geriatrics Society
|October 1, 1978
Summary
Geriatric medicine advances with aging knowledge and diverse global models. Key elements for effective care include assessment, progressive patient management, and day hospitals, with research into vascular disease and dementia being crucial.
Area of Science:
- Geriatric Medicine
- Aging Research
- Medical Care Systems
Background:
- Geriatric medicine's evolution is linked to increased understanding of aging (social, psychological, biological) and its impact on illness presentation.
- Global development of geriatric medicine shows two main forms: accredited specialties and hospital-based training without accreditation.
Purpose of the Study:
- To describe the geriatric care system in Great Britain.
- To emphasize critical components of effective geriatric care.
- To consider future developments and research priorities in the field.
Main Methods:
- Descriptive analysis of the British geriatric care system.
- Identification of key practices: pre-admission assessment, progressive patient care, and day hospitals.
- Consideration of future trends and research needs.
Main Results:
- The British system highlights the importance of structured assessment before admission.
- Progressive care models and the utilization of day hospitals are vital for patient management.
- Research into atheromatous vascular disease and senile dementia is fundamental for future geriatric medicine.
Conclusions:
- Effective geriatric care relies on comprehensive assessment, continuous patient management, and specialized facilities like day hospitals.
- Continued research into age-related diseases is essential for advancing geriatric medicine.
- The development of geriatric medicine is influenced by both scientific knowledge and healthcare system structures.