For proper health care to the
elderly, it is essential to proper coordination of different stakeholders
involved. It involves a multidisciplinary.
Although much progress has worked
and, in Spain there is still some way to coordinate and ensure effective
strategies for the correct approach.
-
Primary
-
General Hospital
-
Geriatric Unit
PILLARS IN WHICH IS BASED ASSISTANCE
FOR ELDERLY
Pillars that support elderly care:
- Interdisciplinary work
a. Physicians
b. Nursing
c. Social
Workers
d. Occupational
Therapists
e. Psychologists
- Correct
use of the levels of care
- Suitable expertise
Finally I found very interesting comment I read
an article that was published in 2006 in Rev Esp of Geriatrics and Gerontology
(SEGG). This is a 2003-2005 SEGG report on the level of adequacy of resources
in general hospitals geriatric Spanish.
I quote some conclusions:
• The group of people over 80
years has grown in the period 2003-2005, 8.3%, double the geriatric care
resources (4%).
• Only 36% of Spanish public
hospitals have resources specific to the elderly patient.
• Maintain the lack of equity in
the Spanish territory where regional inequalities are accentuated.
• Cantabria and the Basque
Country are still without some kind of geriatric care in their hospitals.
• Andalusia and Extremadura
only have a 9% and 11%, respectively, geriatric care in their hospitals.
• Castilla-La Mancha, Madrid,
Catalonia and Aragon are communities with a more comprehensive geriatric care
in their general hospitals.
In conclusion, this study
makes clear that specialized geriatric care Spanish public hospitals is inadequate.
It raises a number of weaknesses and improvement measures to implement. In
particular, strikes me that, at least, Aragon appears as one of the communities
most comprehensive geriatric hospital.
BIBLIOGRAPHY:
Elisabeth Schröder-Butterfill, Oxford Institute of
Ageing
‘PILLARS OF THE FAMILY’ – SUPPORT PROVIDED BY THE ELDERLY
IN INDONESIA” 2007
Harvey Jay Cohen, M.D., John R.
Feussner, M.D., Morris Weinberger, Ph.D., Molly Carnes, M.D., Ronald C. Hamdy,
M.D., Frank Hsieh, Ph.D., Ciaran Phibbs, Ph.D., Donald Courtney, M.D., Kenneth
W. Lyles, M.D., Conrad May, M.D., Cynthia McMurtry, M.D., Leslye Pennypacker,
M.D., David M. Smith, M.D., Nina Ainslie, M.D., Thomas Hornick, M.D., Kayla
Brodkin, M.D., and Philip Lavori, Ph.D.
“A Controlled Trial of Inpatient and Outpatient
Geriatric Evaluation and Management” 2002
Abizanda Soler,
P.*; Gallego Moreno, J.*; Sánchez Jurado, P.* y Díaz Torres, C.**
“Instrumentos de
Valoración Geriátrica Integral en los servicios de Geriatría de España: uso
heterogéneo de nuestra principal herramienta de trabajo” 2000
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