As an alternative to acute hospital admission, older people could be admitted for triage in older‑friendly environments staffed by experts in care of older people, places in which their multidimensional care needs could be better met. Such ‘older people centres’ could be developed with similar interdisciplinary constitution, role and function as community health centres in which interdisciplinary teams could receive and triage older people; offer comprehensive assessments, perform holistic care planning and co‑ordination, and provide medical treatments, interdisciplinary rehabilitation, day care and palliation both in residential care and in the community. Current nursing homes and residential care settings could be transformed into such older people centres, and people in need of traditional
residential care could receive this in their homes, supported by home health care teams. Also, developments in tele‑health could provide avenues to extend the expertise of such centres into rural areas, while also offering consultancy to home care teams and acute hospitals for those older people who still do require such care. Expanding and transforming nursing homes and sub‑acute care settings into becoming such ‘older people centres’ can also be anticipated to make aged care more attractive to health care staff.
As an alternative to acute hospital admission, older people could be admitted for triage in older‑friendly environments staffed by experts in care of older people, places in which their multidimensional care needs could be better met. Such ‘older people centres’ could be developed with similar interdisciplinary constitution, role and function as community health centres in which interdisciplinary teams could receive and triage older people; offer comprehensive assessments, perform holistic care planning and co‑ordination, and provide medical treatments, interdisciplinary rehabilitation, day care and palliation both in residential care and in the community. Current nursing homes and residential care settings could be transformed into such older people centres, and people in need of traditional residential care could receive this in their homes, supported by home health care teams. Also, developments in tele‑health could provide avenues to extend the expertise of such centres into rural areas, while also offering consultancy to home care teams and acute hospitals for those older people who still do require such care. Expanding and transforming nursing homes and sub‑acute care settings into becoming such ‘older people centres’ can also be anticipated to make aged care more attractive to health care staff.
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