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COVID-19 outbreak: organisation of a geriatric assessment and coordination unit. A French example
- Authors:
- KOEBERLE Severine, et al
- Journal article citation:
- Age and Ageing, 49(4), 2020, pp.516-522.
- Publisher:
- Oxford University Press
Older people are particularly affected by the COVID-19 outbreak because of their vulnerability as well as the complexity of health organisations, particularly in the often-compartmentalised interactions between community, hospital and nursing home actors. In this endemic situation, with massive flows of patients requiring holistic management including specific and intensive care, the appropriate assessment of each patient’s level of care and the organisation of specific networks is essential. To that end, we propose here a territorial organisation of health care, favouring communication between all actors. This organisation of care is based on three key points: 1) To use the basis of territorial organisation of health by facilitating the link between hospital settings and geriatric sectors at the regional level; 2) To connect private, medico-social and hospital actors through a dedicated centralised unit for evaluation, geriatric coordination of care and decision support. A geriatrician coordinates this multidisciplinary unit. It includes an emergency room doctor, a supervisor from the medical regulation centre (Centre 15), an infectious disease physician, a medical hygienist and a palliative care specialist. 3) To organise an ad hoc follow-up channel, including the necessary resources for the different levels of care required, according to the resources of the territorial network, and the creation of a specific COVID geriatric palliative care service. This organisation meets the urgent health needs of all stakeholders, facilitating its deployment and allows the sustainable implementation of a coordinated geriatric management dynamic between the stakeholders on the territory. (Edited publisher abstract)
Social gerontology in France: historical trends and recent developments
- Authors:
- OGG Jim, GORGEON Catherine
- Journal article citation:
- Ageing and Society, 23(6), November 2003, pp.797-814.
- Publisher:
- Cambridge University Press
Social gerontology, as a distinct discipline, has been slower to develop in France than in Anglo-Saxon countries. Gerontological discourses have been dominated by the medical and physical sciences. At the same time, France has a long tradition of research on ageing that incorporates important social dimensions, particularly in demographic and economic fields. Current developments include research on pensions and related issues such as early-retirement or older people in the labour force; inter-generational relations or family solidarity; disabled elderly people and caring; and ageing among ethnic minority populations. These developments point in the direction of co-ordinated, multi-disciplinary approaches to the life course and ageing in the future.