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Ambulante Versorgung älterer und hochaltriger Patienten

Outpatient care for the old and very old

  • Published:
MMW - Fortschritte der Medizin Aims and scope

Zusammenfassung

Hintergrund

Die ambulante Behandlung älterer Patienten obliegt dem Hausarzt. Ergänzend zur hausärztlichen Versorgung gibt es einige, regional unterschiedliche Modelle, die in Deutschland derzeit aber nicht etabliert und evaluiert sind. Die hier vorgestellte Untersuchung will zur Profilbildung der ambulanten geriatrischen Versorgung der Zukunft beitragen.

Methode

Es wurde eine Vollerhebung zur Haltung und Akzeptanz von niedergelassenen Ärzten gegenüber der ambulanten Geriatrie und einer geriatrischen Schwerpunktpraxis durchgeführt. Gleichzeitig wurden Überweisungs- und Beratungsanlässe systematisch erfasst und miteinander verglichen.

Ergebnisse und Schlussfolgerung

Eine geriatrische Schwerpunktpraxis kann die hausärztliche Versorgung sinnvoll ergänzen. Sie wird von vielen Hausärzten gut akzeptiert, wenn ein transparenter Austausch erfolgt, Lotsenfunktion und hausärztliche Basistätigkeiten beim Hausarzt verbleiben und er bei aufwändigen Patienten entlastet wird.

Abstract

Background

Outpatient treatment of elderly patients is the responsibility of the family doctor. In addition to general practitioner care, there are some regionally different models that are currently not established and evaluated in Germany. The investigation presented here aims to contribute to the profiling of outpatient geriatric care in the future.

Method

A full survey on the attitude and acceptance of general practitioners towards outpatient geriatrics and a geriatric focus practice was carried out. At the same time, referral and advisory events were systematically recorded and compared.

Results and Conclusion

A geriatric focus practice can complement primary care. It is well accepted by many family doctors if there is a transparent exchange, pilot function and basic family doctor activities remain with the family doctor and he is relieved of the burden on complex patients.

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Author information

Authors and Affiliations

  1. Geriatrische und Gerontopsychotherapeutische Schwerpunktpraxis, Mannheim, Deutschland

    Jana Hummel

  2. Psychotherapeutische Praxis, Heikendorf, Deutschland

    Ulrike Müller-Wilmsen

  3. Institut für Gerontologie Heidelberg, Deutschland

    Stefanie Wiloth

  4. Geriatrisches Zentrum Ludwigsburg-Bietigheim, Deutschland

    Daniel Kopf

  5. Medical School Berlin, Deutschland

    Eva-Marie Kessler

  6. Geriatrisches Zentrum Bethanien a.D., Deutschland

    Peter Oster

  7. Geriatrische und Gerontopsychotherapeutische Schwerpunktpraxis, Rheingoldstraße 41a, D-68199, Mannheim, Deutschland

    Jana Hummel

Authors
  1. Jana Hummel
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  2. Ulrike Müller-Wilmsen
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  3. Stefanie Wiloth
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  4. Daniel Kopf
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  5. Eva-Marie Kessler
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  6. Peter Oster
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Corresponding author

Correspondence to Jana Hummel.

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This article is part of a supplement not sponsored by the industry.

Interessenkonflikt

Die Autorinnen und Autoren erklären, keine Interessenkonflikte im Zusammenhang mit dieser Arbeit zu haben.

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Hummel, J., Müller-Wilmsen, U., Wiloth, S. et al. Ambulante Versorgung älterer und hochaltriger Patienten. MMW - Fortschritte der Medizin 162 (Suppl 5), 14–20 (2020). https://doi.org/10.1007/s15006-020-0659-5

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  • DOI: https://doi.org/10.1007/s15006-020-0659-5

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