Integrated Care for Older Patients: Geriatrics

Duque, Sofía; Inzitari, Marco; Albayrak, Armaĝan; Cammen, Tischa van der

doi:10.1007/978-3-030-69262-9_40

Cited by 1 publication

(1 citation statement)

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“…Since older people often suffer from multiple comorbidities, frailty, and functional limitations to daily living tasks, they require more and substantially different health and care services than younger people [ 5 , 6 , 7 ]. Geriatric patients in Poland suffer from the following problems, comprising both age-related chronic diseases and geriatric syndromes that are common clinical presentations, such as falls and incontinence, that do not fit into specific disease categories but have substantial implications for functionality and life satisfaction [ 8 ]: hypertension (60% of geriatric patients), depression (52%), urinary incontinence (48%), falls (41%), dementia (35%), diabetes (31%), heart failure (27%), peptic ulcer disease (22%), protein and energy malnutrition (20%), delirium (19%), iatrogenic syndromes (17%), chronic kidney disease (17%), Parkinson’s disease (16%), and cancer (95) [ 9 ]. Older Poles declare having poor health more often compared to their peers in other countries in Europe—in 2019, 30.8% of Poles aged 65+ reported having bad or very bad health compared to 17.8% in the EU on average [ 10 ].…”

Section: Introductionmentioning

confidence: 99%

Health Centres 75+ as a New Model to Improve Care for Older People in Poland

Sagan

Gałązka-Sobotka

Czauderna

et al. 2022

IJERPH

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According to a recent national audit, the cost of treating patients in geriatric wards is 20–30% less compared to those treated in internal medicine wards. Yet, geriatric care remains largely underdeveloped in Poland, with few human, material, and financial resources. Despite numerous attempts to raise the profile of geriatrics over the years, little progress has been achieved. In 2019, experts under the President of Poland proposed the creation of a network of Health Centres 75+ as the first pillar of geriatric care. These are meant to provide ambulatory services for older people and coordinate provision of other health and social care services at the county level. The goal is to create a community model of care, whereby older people would receive needed services close to their place of residence, allowing them to live independently for as long as possible. Although the proposal has been welcomed by the geriatric community and the patients, the acute shortages of human, physical, and financial resources raise concerns about its feasibility. However, the new strategic plans for the health system propose solutions that appear to be supportive of the new proposal, and the Office of the President is discussing joining forces with the Ministry of Health to improve its chances of implementation. Given the increasing pace of population ageing and underdeveloped provision of geriatric services, these efforts are very much needed.

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Section: Introductionmentioning

confidence: 99%