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Desarrollo e implementación de un programa de cogestión de cirugía geriátrica para adultos mayores: perspectivas del
Abigail Baim-Lance1,2, Fred Ko1,2, William Hung1,2
1Icahn School of Medicine at Mount Sinai, New York (NY).
Surgery in geriatrics and frailty
|January 7, 2026
Resumen
El programa ALIGN-CARE (Aging, Life Innovations, Goals and Needs-Collaboration Achieving Readiness and Empowerment) mejora la preparación quirúrgica para adultos mayores frágiles. Este modelo interdisciplinario de cogestión evolucionó a través de estrategias adaptativas y colaboración de las partes interesadas.
Área de la Ciencia:
- Medicina Geriátrica
- Atención Quirúrgica
- Desarrollo de Programas de Salud
Sus antecedentes:
- Los adultos mayores frágiles requieren una preparación especializada para la cirugía.
- Los modelos interdisciplinarios de cogestión pueden mejorar los resultados quirúrgicos para esta población.
Objetivo del estudio:
- Examinar el desarrollo e implementación del programa de cogestión ambulatoria de cirugía geriátrica ALIGN-CARE.
- Identificar procesos y estrategias clave que apoyan el avance de programas interdisciplinarios complejos para adultos mayores.
Principales métodos:
- Se utilizó el marco de evaluación del Medical Research Council (MRC).
- Se realizó una revisión documental y análisis temático de 84 reuniones del programa (enero de 2020-enero de 2022).
- Se analizaron cuatro tipos recurrentes de reuniones: asesora, interdisciplinaria, de cirujanos e investigadora.
Principales resultados:
- El programa ALIGN-CARE desarrolló y estabilizó cuatro componentes principales: derivación, programación, evaluación y planificación.
- La flexibilidad y la capacidad de respuesta del programa fueron impulsores críticos de la implementación.
- Las reuniones de las partes interesadas facilitaron la adaptación y maduración del programa.
Conclusiones:
- El método de análisis documental identificó procesos esenciales para el desarrollo de la cogestión quirúrgica geriátrica.
- El desarrollo de ALIGN-CARE resalta la importancia de las estrategias adaptativas en programas interdisciplinarios complejos.
- Este estudio proporciona información sobre el avance de la atención para adultos mayores sometidos a cirugía.
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