Inpatient geriatric assistance

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Inpatient care of elderly and old people get in ordinary hospitals and geriatric hospitals for the chronically ill who need long-term care. In Western Europe, especially where a high proportion of elderly and old people (18-20% and more), the number of beds in urban hospitals involved patients over 60 years of age, is about 50% of the seats. The predominance of elderly and senile age among hospitalized patients noted in medical, surgical, oncological, neurological and other departments.
In the Soviet Union geriatric patients are usually hospitalized in hospitals of General medical network. However, some institutions provide medical assistance primarily to patients of older age and are profiling as a geriatric institution. Specialized clinical research base on 245 beds available in the Institute of gerontology of AMS of the USSR.
When solving the question of the forms of institutional care geriatric patients, it is important first of all to determine the necessary amount of this aid. In the literature on this topic, there is very limited information. Of interest are also the materials from a number of researchers (E. A. Loginov, M. C. Potekhin, 1971; T. N. Troshev, 1972), which offered various forms of development of inpatient care to the patients of elderly and senile age. These include geriatric departments in General hospitals, wards for chronically ill for a period of stay up to six months, the Department for long-term treatment of patients with destructive forms of diseases.
Examination of the population teams of medical specialists in Kaluga (M. Century Potekhin, 1969) showed that the need for inpatient treatment of persons over 60 years of age is generally 241,8 per 1000 people in this age group. The number of people requiring hospital treatment increases with age. So, in the age group 60 to 64 years, the need for hospitalization was 213,2, 80 years and older - 308,4 (per 1000 people of the relevant age group).
The most significant need of persons 60 years and older in inpatient therapeutic treatment (137,8 per 1,000 population), including General therapeutic departments - 103,5, in highly - 34,3 (in cardiology - 10,7, gastroenterological-1.1,6). The need for hospitalization to the surgical Department of the profile is 40,1, neurological - 34,5, in ophthalmic-10,5, in a psychiatric-10,5. Thus, 57% of patients of elderly and senile age required hospitalization in the Department of therapeutic profile, 16,6% - surgical, 14.3% in neurological, 12.1%-in other departments. T. N. Troshev (1972) concluded that the demand for inpatient care for all patients 60 years and older is 144 per 1,000 people in this age group.
In England, where extensive network of geriatric wards and hospitals for the chronically ill, provided by 1,4 beds per 1000 people (Anderson, 1961), in the USA-1,53 (Brocklehurst, 1975). In Sweden for pediatric patients aged 70 years and older has 46 beds per 1000 people (Svanborg, 1975).