Defining the role and reach of a geriatrician.

IF 13.4 Q1 GERIATRICS & GERONTOLOGY Lancet Healthy Longevity Pub Date : 2024-10-04 DOI:10.1016/j.lanhl.2024.100644
Matteo Cesari, Jotheeswaran Amuthavalli Thiyagarajan, Antonio Cherubini, Miguel Angel Acanfora, Prasert Assantachai, Mario Barbagallo, Mamadou Coume, Theresa Diaz, Nicholas Fuggle, Sonia Ouali Hammami, Kenneth Madden, Radmila Matijevic, Jean-Pierre Michel, Mirko Petrovic, Cornel Sieber, Nicola Veronese, Finbarr C Martin, Anshu Banerjee, John W Rowe
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Abstract

Population ageing is a global occurrence. Unfortunately, the shortage of health professionals with geriatric competencies is a major factor restricting high-quality care for older people worldwide. Strengthening the knowledge and skills of the health workforce to better respond to the needs of older people is a major global priority. Geriatricians can play a pivotal role in reorienting care for older people towards an integrated and person-centred care system focused on functional ability, preventive strategies, and age-friendly services. The current scenario requires efforts to be directed towards establishing a standardised competency-based definition of a geriatrician to allow for an accurate estimation of the existing workforce with adequate training in geriatrics as crucial resources to facilitate the paradigm shift. This Personal View, supported by the International Association of Gerontology and Geriatrics and the European Geriatric Medicine Society, proposes a standardised definition of a geriatrician based on expected competencies and roles and a precise description of the essential features of geriatric medicine. By reducing ambiguities and offering a competency-based framework, the current standardisation approach is expected to facilitate better support, monitoring, and allocation of resources for improving care for older people worldwide.

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确定老年病学家的作用和范围。
人口老龄化是一个全球性问题。遗憾的是,具备老年医学能力的专业医护人员短缺,这是制约全球老年人获得高质量护理的一个主要因素。加强医护人员的知识和技能,以更好地满足老年人的需求,是全球的当务之急。老年病学家可以发挥关键作用,调整老年人护理方向,建立以人为本的综合护理系统,重点关注老年人的功能能力、预防策略和对老年人友好的服务。在当前形势下,需要努力建立以能力为基础的老年病学医生标准化定义,以便准确估算接受过充分老年病学培训的现有医务人员队伍,将其作为促进模式转变的重要资源。本个人观点得到了国际老年学和老年医学协会以及欧洲老年医学学会的支持,提出了基于预期能力和角色的老年医学医生标准化定义,并对老年医学的基本特征进行了精确描述。通过减少模糊性并提供一个以能力为基础的框架,目前的标准化方法有望促进更好的支持、监测和资源分配,以改善对全球老年人的护理。
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来源期刊
Lancet Healthy Longevity
Lancet Healthy Longevity GERIATRICS & GERONTOLOGY-
CiteScore
16.30
自引率
2.30%
发文量
192
审稿时长
12 weeks
期刊介绍: The Lancet Healthy Longevity, a gold open-access journal, focuses on clinically-relevant longevity and healthy aging research. It covers early-stage clinical research on aging mechanisms, epidemiological studies, and societal research on changing populations. The journal includes clinical trials across disciplines, particularly in gerontology and age-specific clinical guidelines. In line with the Lancet family tradition, it advocates for the rights of all to healthy lives, emphasizing original research likely to impact clinical practice or thinking. Clinical and policy reviews also contribute to shaping the discourse in this rapidly growing discipline.
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