首都医科大学学报 ›› 2008, Vol. 29 ›› Issue (3): 257-261.

• 专题报道 • 上一篇    下一篇

老年病的管理

陈峥   

  1. 首都医科大学第六临床医学院教学基地北京老年医院
  • 收稿日期:2008-04-16 修回日期:1900-01-01 出版日期:2008-06-24 发布日期:2008-06-24

Management of Geriatric Diseases

Chen Zheng   

  1. The Sixth Teaching Hospital Clinical Education Center, Capital Medical University, Beijing Geriatric Hospital
  • Received:2008-04-16 Revised:1900-01-01 Online:2008-06-24 Published:2008-06-24

摘要: 自从美国Ignatz L.Nascher医生首先提出老年病学的概念(Geriatrics)近一个世纪以来,欧美部分国家老年医学专家的临床和科研工作使老年病学得以不断地完善,迄今已经形成了一门完整的学科.老年病医生的地位得到了确立,老年病服务体系已经形成.老年病学的研究对象是老年患者而非仅仅疾病,研究的重点是老年病的整合管理.老年病治疗的目的 不仅是治愈疾病而是对各器官功能的保护和医学康复.循证医学的多项研究均已经证实,采用老年病管理的方式和老年病个案管理、多学科团队协作、老年健康状况评估、老年医学康复、老年病急性照料和长期照料的分层管理,对减少老年人残疾率,降低死亡率,降低住院费用,增加患者和家属的满意度,最终提高老年患者的生活质量和延长健康期望寿命起到了积极作用.

关键词: 老年病, 多学科, 评估, 个案管理

Abstract: One century has passed away since American doctor Ignatz L.Nascher put forward the term "Geriatrics".Today geriatric medicine or geriatrics has become one of the newest medical subjects through persistent efforts of gerontologist clinics and scientific research works in developed countries.Geriatrician has been recognized and the health service system for the elderly has been established.The geriatric research focuses on elderly patients but not only on diseases.The management and assessment are the two cores in geriatrics study,the purpose of which is not only treating disease but also preventing and protecting patient's body function.The evidence-based medicine has shown that the geriatric care about case management,multidisciplinary team work,health assessment,geriatric rehabilitation,long term care and end of life care can decrease disability and promote longevity,as well as control medical care expense and increase satisfaction of patients and family numbers.

Key words: geriatrics, multidisciplinary, assessment, case managment

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