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首页> 美国卫生研究院文献>Future Healthcare Journal >Geriatric medicine and geriatricians in the UK. How they relate to acute and general internal medicine and what the future might hold?
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Geriatric medicine and geriatricians in the UK. How they relate to acute and general internal medicine and what the future might hold?

机译：英国的老年医学和老年医学专家。它们与急性和普通内科疾病有何关系未来可能如何？

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The Royal College of Physicians and its Future Hospitals Commission has a renewed focus on general internal medicine. But in 2015, most is in effect either acute medicine or geriatric medicine. Acute physicians and ‘organ specialists’ looking after inpatients on specialty wards or at the acute hospital ‘front door’ will need sufficient skills in geriatric medicine, rehabilitation, discharge planning and palliative care, as frailty, dementia and complex comorbidities may complicate the care of older patients with predominant speciality-defining complaints. In an era where we are urged to focus on patient-centred care, patients’ preference for continuity and ‘whole-stay’, consultants must be recognised and respected. Ideally, this will require increasing numbers of geriatricians and acute physicians, more age attuned training for all; a shift in values and status. This should be backed by adequate capacity and rapid access to social and intermediate care services outside hospital, as well as adequate multidisciplinary staff and skills within the acute hospital to ensure that older patients’ needs beyond the immediate complaints are not neglected. Meanwhile, geriatric medicine itself has diversified into specialised, community and interface roles, aligned with the integration agenda, and continues to contribute substantially to acute, general and stroke medicine. These developments are described here.
机译：皇家内科医学院及其未来医院委员会重新将重点放在普通内科医学上。但是在2015年，大多数有效的药物是急性医学或老年医学。急诊医师和“器官专科医生”需要照料专科病房或急诊医院“前门”的住院病人，他们需要足够的老年医学，康复，出院计划和姑息治疗方面的技能，因为体弱，痴呆和复杂的合并症可能会使患者的护理复杂化年龄较大的患者，主诉专业定义。在一个时代，我们被敦促专注于以患者为中心的护理，患者对连续性的偏爱和“全天候”，顾问必须得到认可和尊重。理想情况下，这将需要越来越多的老年医师和急诊医师，并对所有人进行更多的年龄适应训练；价值观和地位的转变。这应以医院外的足够能力和快速获得社会和中间护理服务以及急诊医院内适当的多学科工作人员和技能为后盾，以确保不忽略老年患者在即时投诉之外的需求。同时，老年医学本身已经多样化，成为专门角色，社区角色和接口角色，与融合议程相一致，并继续为急性，普通和中风医学做出重大贡献。这些发展在这里描述。

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