Addressing inequalities in the perioperative care for older adults.
Br J Hosp Med (Lond)
; 85(7): 1-8, 2024 Jul 30.
Article
em En
| MEDLINE
| ID: mdl-39078911
ABSTRACT
Older adults constitute a large proportion of patients undergoing surgery and present with complexity, predisposing them to adverse postoperative outcomes. Inequalities exist in the provision of surgical care across the United Kingdom evidenced by increased waiting times in areas of social deprivation, a disparity in the provision of surgical care across geographic locations as well as a variation in the medical management of comorbidities in surgical patients. Addressing inequalities in the delivery of perioperative care for older adults necessitates a multi-faceted approach. It requires implementation of an evidence-based approach to optimisation of older surgical adults using Comprehensive Geriatric Assessment and optimisation methodology at scale, development of an age-attuned, flexible, transdisciplinary workforce, a restructuring of funding to commission services addressing the needs of the older surgical population and a change in culture and professional and public understanding of the needs of the older surgical patient.
Palavras-chave
Texto completo:
1
Coleções:
01-internacional
Base de dados:
MEDLINE
Assunto principal:
Avaliação Geriátrica
/
Assistência Perioperatória
/
Disparidades em Assistência à Saúde
Limite:
Aged
/
Humans
País/Região como assunto:
Europa
Idioma:
En
Revista:
Br J Hosp Med (Lond)
Ano de publicação:
2024
Tipo de documento:
Article