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Service models 

Service models
Chapter:
Service models
Author(s):

Finbarr Martin

DOI:
10.1093/med/9780199689644.003.0004
Page of

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date: 23 October 2019

Key points

There is increasing concern about quality of care received by older people in our health services.

Real progress over recent decades in overcoming ignorance and ageism is at risk if these services cannot become age-attuned.

Today’s older people are older, more numerous, and present complex challenges of multimorbidity and frailty.

Traditional divisions of staff and skills between primary and secondary care, and between clinical specialties, are an obstacle to meeting the challenge.

Promising innovative new models of care are emerging and will need refinement through research and experience.

Skills and attitudes needed to recognize and manage the geriatric syndromes must be mainstreamed through education, training, and dissemination of good practice.

Specialists in old-age medicine and mental health cannot do it all, but must champion this transformation.

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