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The future history of geriatrics
 — geriatrics at the crossroads
Author(s)Robert L Kane
Journal titleJournals of Gerontology: Series A, Biological Sciences and Medical Sciences, vol 57A, no 12, December 2002
Pagespp M803-M805
KeywordsHealth services ; Policy ; Histories.
AnnotationGeriatrics is essentially the epitome of good chronic care, but has had difficulty in deciding just what it wants to be. In the US (and elsewhere, too?) the numbers of geriatricians are too small to have a profound effect on the way care is delivered to older people. The author asks why has geriatrics proved to be so unattractive? He examines the discipline's history, and suggests some alternative models for chronic disease care. These include: primary care possibly combined with a hospital practice dealing with special needs through purpose-built geriatric care wards; geriatric primary care by geriatric nurse practitioners, with geriatricians as consultants; geriatricians in long-term care institutions working with geriatric nurse practitioners; and end-of-life specialists, or role models for chronic disease care. Commentaries on this article follow on pp M806-M814, to which the author responds. (RH).
Accession NumberCPA-030212212 A
ClassmarkL: QAD: 6A

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