TY - JOUR
T1 - Acute care hospital at different levels of intensity
T2 - the role of Geriatrician
AU - Liguori, Ilaria
AU - Russo, Gennaro
AU - Aran, Luisa
AU - Bulli, Giulia
AU - Curcio, Francesco
AU - Della-Morte, David
AU - Gargiulo, Gaetano
AU - Testa, Gianluca
AU - Ungar, Andrea
AU - Cacciatore, Francesco
AU - Bonaduce, Domenico
AU - Abete, Pasquale
N1 - Publisher Copyright:
© 2018, Springer International Publishing AG, part of Springer Nature.
Copyright:
Copyright 2018 Elsevier B.V., All rights reserved.
PY - 2018/7/1
Y1 - 2018/7/1
N2 - The traditional model of care is based on “disease-centered” management that requires the organization of the hospital in specialized wards, to which the patient is assigned for the main disease. The growing need to optimize economical and human resources and to promote a global approach to the patient has led to the setting up of the intensity of care model. It is a health system based on a “patient-centered” approach, where the hospital is organized in departments dedicated to patients with homogenous needs of care. In Italy, intensity of care model is currently being tested in the hospital organization, where three levels of intensity are proposed: low, medium and high. The purpose of the following review is to describe the role and importance of the Geriatrician in each of these care settings and to highlight the contradiction of a National Health System which promotes the geriatric approach to all types of patients, but does not invest in the formation and integration of the figure of the Geriatrician in clinical practice, condemning it to marginalization or even extinction.
AB - The traditional model of care is based on “disease-centered” management that requires the organization of the hospital in specialized wards, to which the patient is assigned for the main disease. The growing need to optimize economical and human resources and to promote a global approach to the patient has led to the setting up of the intensity of care model. It is a health system based on a “patient-centered” approach, where the hospital is organized in departments dedicated to patients with homogenous needs of care. In Italy, intensity of care model is currently being tested in the hospital organization, where three levels of intensity are proposed: low, medium and high. The purpose of the following review is to describe the role and importance of the Geriatrician in each of these care settings and to highlight the contradiction of a National Health System which promotes the geriatric approach to all types of patients, but does not invest in the formation and integration of the figure of the Geriatrician in clinical practice, condemning it to marginalization or even extinction.
KW - Acute care hospital
KW - Geriatrician
KW - Level of care intensity
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U2 - 10.1007/s40520-018-0920-2
DO - 10.1007/s40520-018-0920-2
M3 - Review article
C2 - 29468615
AN - SCOPUS:85042215445
VL - 30
SP - 703
EP - 712
JO - Aging clinical and experimental research
JF - Aging clinical and experimental research
SN - 1594-0667
IS - 7
ER -