与时俱进，迎接老年保健医学的挑战

Health care for the elderly : challenges in a new era

摘要:

本文首先对成功老化、现代老年保健医学服务理念进行了阐述，强调现代老年医学已由关注“病”转变到关注“人”，老年医学的目标除了防治疾病外，更加强调对老年生理、认知功能的维持和心理康复治疗，达到“成功老化”。实现现代老年医学的核心技术之一是老年综合评估。本文对老年综合评估技术、老年不合理用药、老年共病现象、常见老年疾病防治的研究进展和面临的挑战进行了深入探讨。

Abstract:

In this article, we introduced the updating concepts of successful aging and the model of health care for the elderly. We strengthened that the focus of modern geriatrics has shifted from “disease” to “human being”. Thus, the goal of geriatrics is not only to prevent and treat geriatric diseases, but more importantly, to maintain the elderly’s body functions, such as their physiological and cognitive functions, and to sustain mental health through psychological rehabilitation, so as to realize “successful aging”. One of the step to attain the goal is to make a comprehensive geriatric assessment in the concept of modern geriatrics. We also discussed inappropriate medication prescribing, multimorbidity in the elderly, and the progress and challenges in the prevention and treatment of common geriatric diseases.