Geriatrie gestaltet Zukunft
Zeitschrift für Gerontologie und Geriatrie, vol. 59, pp. 406–419
Abstract
Geriatric medicine is becoming increasingly more important in the context of demographic change. Older people frequently suffer from multimorbidity, functional impairments and complex psychosocial conditions that are often insufficiently addressed by a purely diagnosis-oriented medical approach. The primary aim of geriatrics is therefore not only the treatment of diseases but also with respect to individual goals, the preservation of independence, quality of life and social participation.This expert paper outlines the current state of geriatric care in Germany, its scientific evidence base and key challenges and future perspectives. Central elements of geriatric complexity medicine include comprehensive geriatric assessment, multiprofessional treatment concepts and cross-sectoral models of care. Numerous studies demonstrate that this approach improves functional outcomes, reduces the risk of long-term care dependency and reduces or shortens hospital stays.Despite established acute geriatric and rehabilitation structures, substantial deficits remain in nationwide access to care, financing, academic integration, research and professional training. Workforce shortages, insufficient outpatient services and the limited integration of geriatric principles into other medical specialties weaken the great opportunity that modern geriatric medicine offers for preventing the need for long-term care. At the same time, digitalization, telemedicine and innovative cross-sectoral care models offer new opportunities for patient-centered geriatric medicine.The authors advocate stronger structural and political support for geriatrics, the expansion of outpatient geriatric centers, financing systems that adequately reflect patient complexity and a stronger integration of geriatrics into research, teaching and medical education including a German Center for Geriatric Medicine with substantial involvement of geriatrics. In this way, geriatrics can make a major contribution to a sustainable, patient-centered and future-oriented healthcare system.
Authors 20
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Markus Gosch corresponding
Paracelsus Medizinische Privatuniversität
Affiliation as printed
Med. Klinik 2 - Schwerpunkt Geriatrie, Universitätsklinik für Geriatrie der Paracelsus Medizinischen Privatuniversität, Campus Nürnberg, Prof.-Ernst-Nathan-Straße 1, 90419, Nürnberg, Deutschland. markus.gosch@klinikum-nuernberg.de
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Heidelberg University · University Hospital Heidelberg
Affiliation as printed
Geriatrisches Zentrum am Universitätsklinikum Heidelberg, Medizinische Fakultät, Universität Heidelberg, Heidelberg, Deutschland
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Universitätsklinikum Aachen · RWTH Aachen University
Affiliation as printed
Abteilung für Geriatrie, Universitätsklinikum RWTH Aachen, Aachen, Deutschland
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Affiliation as printed
Abteilung für Geriatrie, Universitätsklinikum Duisburg-Essen, Duisburg-Essen, Deutschland
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Universitätsmedizin Greifswald · Universität Greifswald
Affiliation as printed
Abteilung für Innere Medizin D - Geriatrie, Universitätsmedizin Greifswald, Greifswald, Deutschland
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Friedrich-Alexander-Universität Erlangen-Nürnberg · Bayreuth Medical Center
Affiliation as printed
Klinik für Geriatrie und geriatrische Tagesklinik, Klinikum Bayreuth - Institut für Lehre und Forschung Medizincampus Oberfranken MCO, FAU Erlangen-Nürnberg, Bayreuth, Deutschland
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University Hospital Carl Gustav Carus
Affiliation as printed
Medizinische Klinik III, Endokrinologie, Geriatrie und Knochenstoffwechselerkrankungen, Universitätsklinikum Carl Gustav Carus Dresden, Dresden, Deutschland
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Johannes Wesling Klinikum Minden
Affiliation as printed
Universitätsklinik für Geriatrie, Minden, Deutschland
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Charité - Universitätsmedizin Berlin
Affiliation as printed
Klinik für Geriatrie und Altersmedizin, Charite-Universitätsmedizin Berlin, Berlin, Deutschland
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University of Cologne · Cologne Excellence Cluster on Cellular Stress Responses in Aging Associated Diseases · University Hospital Cologne
Affiliation as printed
Klinische Altersforschung, Innere Medizin II und Zentrum für Molekulare Medizin Köln, Universitätsklinikum Köln, Exzellenzcluster CECAD, Universität zu Köln, Köln, Deutschland
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Affiliation as printed
Klinik für Geriatrie, Universitätsklinikum Jena, Jena, Deutschland
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Affiliation as printed
Abteilung für Geriatrie, AGAPLESION Markus Krankenhaus Frankfurt, Frankfurt, Deutschland
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Friedrich-Alexander-Universität Erlangen-Nürnberg
Affiliation as printed
Institut für Biomedizin des Alterns (IBA), Friedrich-Alexander-Universität Erlangen-Nürnberg, Erlangen-Nürnberg, Deutschland
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Friedrich-Alexander-Universität Erlangen-Nürnberg · Klinikum Fürth
Affiliation as printed
Abteilung für Geriatrie, Klinikum Fürth, Institut für Biomedizin des Alterns (IBA), Friedrich-Alexander-Universität Erlangen-Nürnberg, Fürth, Deutschland
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Affiliation as printed
Abteilung für Geriatrie, Medical School Ostwestfalen-Lippe, Universität Bielefeld, Bielefeld, Deutschland
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Affiliation as printed
Abteilung für Geriatrie, Allgemeines Krankenhaus Bremerhaven, Bremerhaven, Deutschland
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Universitätsmedizin Göttingen · University of Göttingen
Affiliation as printed
Klinik für Geriatrie, Universitätsmedizin Göttingen, Göttingen, Deutschland
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Universitätsklinik Marien Hospital Herne · Ruhr University Bochum
Affiliation as printed
Klinik für Altersmedizin und Frührehabilitation, Marien Hospital Herne, Klinikum der Ruhr-Universität Bochum, Herne, Deutschland
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Carl von Ossietzky Universität Oldenburg
Affiliation as printed
Carl von Ossietzky Universität Oldenburg, Oldenburg, Deutschland
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Agaplesion Bethesda Klinik · University Hospital Ulm
Affiliation as printed
AGAPLESION Bethesda Klinik, Geriatrisches Zentrum Ulm, Institut für Geriatrische Forschung, Universitätsklinik Ulm, Ulm, Deutschland
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