1. [Liaison geriatrics with nursing homes in COVID time. A new coordination model arrived to stay].
- Author
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Menéndez-Colino R, Argentina F, de Miguel AM, Barcons Marqués M, Chaparro Jiménez B, Figueroa Poblete C, Alarcón T, Martínez Peromingo FJ, and González-Montalvo JI
- Subjects
- Aged, Aged, 80 and over, COVID-19 diagnosis, COVID-19 prevention & control, Emergency Service, Hospital legislation & jurisprudence, Emergency Service, Hospital organization & administration, Geriatric Assessment, Geriatricians organization & administration, Geriatricians supply & distribution, Health Services Administration, Homes for the Aged classification, Hospitals, Public organization & administration, Humans, Nursing Homes classification, Patient Isolation, Primary Health Care organization & administration, Public Health Administration, Referral and Consultation organization & administration, SARS-CoV-2 immunology, Seroepidemiologic Studies, Spain epidemiology, Telemedicine organization & administration, COVID-19 epidemiology, Geriatrics organization & administration, Homes for the Aged organization & administration, Nursing Homes organization & administration, Pandemics prevention & control
- Abstract
Older people living in nursing homes fulfil the criteria to be considered as geriatric patients, but they often do not have met their health care needs. Current deficits appeared as a result of COVID-19 pandemic. The need to improve the coordination between hospitals and nursing homes emerged, and in Madrid it materialized with the implantation of Liaison Geriatrics teams or units at public hospitals. The Sociedad Española de Geriatría y Gerontología has defined the role of the geriatricians in the COVID-19 pandemic and they have given guidelines about prevention, early detection, isolation and sectorization, training, care homes classification, patient referral coordination, and the role of the different care settings, among others. These units and teams also must undertake other care activities that have a shortfall currently, like nursing homes-hospital coordination, geriatricians visits to the homes, telemedicine sessions, geriatric assessment in emergency rooms, and primary care and public health services coordination. This paper describes the concept of Liaison Geriatrics and its implementation at the Autonomous Community of Madrid hospitals as a result of COVID-19 pandemic. Activity data from a unit at a hospital with a huge number of nursing homes in its catchment area are reported. The objective is to understand the need of this activity in order to avoid the current fragmentation of care between hospitals and nursing homes. This activity should be consolidated in the future., (Copyright © 2021 SEGG. Publicado por Elsevier España, S.L.U. All rights reserved.)
- Published
- 2021
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