COVID-19 outbreak: organisation of a geriatric assessment and coordination unit. A French example.
Identifieur interne : 000952 ( Main/Corpus ); précédent : 000951; suivant : 000953COVID-19 outbreak: organisation of a geriatric assessment and coordination unit. A French example.
Auteurs : Séverine Koeberle ; Thomas Tannou ; Kévin Bouiller ; Nicolas Becoulet ; Justin Outrey ; Catherine Chirouze ; Régis AubrySource :
- Age and ageing [ 1468-2834 ] ; 2020.
English descriptors
- KwdEn :
- Aged (MeSH), Betacoronavirus (isolation & purification), Community Networks (organization & administration), Coronavirus Infections (epidemiology), Coronavirus Infections (prevention & control), France (epidemiology), Geriatric Assessment (methods), Health Care Rationing (trends), Health Services for the Aged (ethics), Health Services for the Aged (organization & administration), Health Services for the Aged (trends), Humans (MeSH), Organizational Innovation (MeSH), Palliative Care (methods), Pandemics (prevention & control), Patient Care Management (ethics), Patient Care Management (organization & administration), Patient Care Management (trends), Pneumonia, Viral (epidemiology), Pneumonia, Viral (prevention & control), Regional Medical Programs (organization & administration), Semantic Web (MeSH), Stakeholder Participation (MeSH).
- MESH :
- geographic , epidemiology : France.
- epidemiology : Coronavirus Infections, Pneumonia, Viral.
- ethics : Health Services for the Aged, Patient Care Management.
- isolation & purification : Betacoronavirus.
- methods : Geriatric Assessment, Palliative Care.
- organization & administration : Community Networks, Health Services for the Aged, Patient Care Management, Regional Medical Programs.
- prevention & control : Coronavirus Infections, Pandemics, Pneumonia, Viral.
- trends : Health Care Rationing, Health Services for the Aged, Patient Care Management.
- Aged, Humans, Organizational Innovation, Semantic Web, Stakeholder Participation.
Abstract
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: To use the basis of territorial organisation of health by facilitating the link between hospital settings and geriatric sectors at the regional level.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.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.
DOI: 10.1093/ageing/afaa092
PubMed: 32725209
PubMed Central: PMC7239239
Links to Exploration step
pubmed:32725209Le document en format XML
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A French example.</title><author><name sortKey="Koeberle, Severine" sort="Koeberle, Severine" uniqKey="Koeberle S" first="Séverine" last="Koeberle">Séverine Koeberle</name><affiliation><nlm:affiliation>Geriatrics Department, CHU, Besançon, France.</nlm:affiliation></affiliation><affiliation><nlm:affiliation>"Ethics and Medical Progress" reseach team, INSERM CIC 1431, CHU Besançon, France.</nlm:affiliation></affiliation></author><author><name sortKey="Tannou, Thomas" sort="Tannou, Thomas" uniqKey="Tannou T" first="Thomas" last="Tannou">Thomas Tannou</name><affiliation><nlm:affiliation>Geriatrics Department, CHU, Besançon, France.</nlm:affiliation></affiliation><affiliation><nlm:affiliation>"Ethics and Medical Progress" reseach team, INSERM CIC 1431, CHU Besançon, France.</nlm:affiliation></affiliation><affiliation><nlm:affiliation>EA 481 Neurosciences, Université de Franche-comté, Besançon, France.</nlm:affiliation></affiliation><affiliation><nlm:affiliation>Research Centre, Geriatric University Institute of Montreal (IUGM), Montréal, Qc, Canada.</nlm:affiliation></affiliation></author><author><name sortKey="Bouiller, Kevin" sort="Bouiller, Kevin" uniqKey="Bouiller K" first="Kévin" last="Bouiller">Kévin Bouiller</name><affiliation><nlm:affiliation>Infectious Disease Department, CHU de Besançon, Besançon, France.</nlm:affiliation></affiliation></author><author><name sortKey="Becoulet, Nicolas" sort="Becoulet, Nicolas" uniqKey="Becoulet N" first="Nicolas" last="Becoulet">Nicolas Becoulet</name><affiliation><nlm:affiliation>Palliative Care Department, CHU de Besançon, Besançon, France.</nlm:affiliation></affiliation></author><author><name sortKey="Outrey, Justin" sort="Outrey, Justin" uniqKey="Outrey J" first="Justin" last="Outrey">Justin Outrey</name><affiliation><nlm:affiliation>Emergency Department, CHU de Besançon, Besançon, France.</nlm:affiliation></affiliation></author><author><name sortKey="Chirouze, Catherine" sort="Chirouze, Catherine" uniqKey="Chirouze C" first="Catherine" last="Chirouze">Catherine Chirouze</name><affiliation><nlm:affiliation>Infectious Disease Department, CHU de Besançon, Besançon, France.</nlm:affiliation></affiliation><affiliation><nlm:affiliation>Laboratoire Chrono-environnement - UMR 6249 CNRS-UFC, Besançon, France.</nlm:affiliation></affiliation></author><author><name sortKey="Aubry, Regis" sort="Aubry, Regis" uniqKey="Aubry R" first="Régis" last="Aubry">Régis Aubry</name><affiliation><nlm:affiliation>Geriatrics Department, CHU, Besançon, France.</nlm:affiliation></affiliation><affiliation><nlm:affiliation>"Ethics and Medical Progress" reseach team, INSERM CIC 1431, CHU Besançon, France.</nlm:affiliation></affiliation><affiliation><nlm:affiliation>EA 481 Neurosciences, Université de Franche-comté, Besançon, France.</nlm:affiliation></affiliation><affiliation><nlm:affiliation>Palliative Care Department, CHU de Besançon, Besançon, France.</nlm:affiliation></affiliation></author></analytic><series><title level="j">Age and ageing</title><idno type="eISSN">1468-2834</idno><imprint><date when="2020" type="published">2020</date></imprint></series></biblStruct></sourceDesc></fileDesc><profileDesc><textClass><keywords scheme="KwdEn" xml:lang="en"><term>Aged (MeSH)</term><term>Betacoronavirus (isolation & purification)</term><term>Community Networks (organization & administration)</term><term>Coronavirus Infections (epidemiology)</term><term>Coronavirus Infections (prevention & control)</term><term>France (epidemiology)</term><term>Geriatric Assessment (methods)</term><term>Health Care Rationing (trends)</term><term>Health Services for the Aged (ethics)</term><term>Health Services for the Aged (organization & administration)</term><term>Health Services for the Aged (trends)</term><term>Humans (MeSH)</term><term>Organizational Innovation (MeSH)</term><term>Palliative Care (methods)</term><term>Pandemics (prevention & control)</term><term>Patient Care Management (ethics)</term><term>Patient Care Management (organization & administration)</term><term>Patient Care Management (trends)</term><term>Pneumonia, Viral (epidemiology)</term><term>Pneumonia, Viral (prevention & control)</term><term>Regional Medical Programs (organization & administration)</term><term>Semantic Web (MeSH)</term><term>Stakeholder Participation (MeSH)</term></keywords><keywords scheme="MESH" type="geographic" qualifier="epidemiology" xml:lang="en"><term>France</term></keywords><keywords scheme="MESH" qualifier="epidemiology" xml:lang="en"><term>Coronavirus Infections</term><term>Pneumonia, Viral</term></keywords><keywords scheme="MESH" qualifier="ethics" xml:lang="en"><term>Health Services for the Aged</term><term>Patient Care Management</term></keywords><keywords scheme="MESH" qualifier="isolation & purification" xml:lang="en"><term>Betacoronavirus</term></keywords><keywords scheme="MESH" qualifier="methods" xml:lang="en"><term>Geriatric Assessment</term><term>Palliative Care</term></keywords><keywords scheme="MESH" qualifier="organization & administration" xml:lang="en"><term>Community Networks</term><term>Health Services for the Aged</term><term>Patient Care Management</term><term>Regional Medical Programs</term></keywords><keywords scheme="MESH" qualifier="prevention & control" xml:lang="en"><term>Coronavirus Infections</term><term>Pandemics</term><term>Pneumonia, Viral</term></keywords><keywords scheme="MESH" qualifier="trends" xml:lang="en"><term>Health Care Rationing</term><term>Health Services for the Aged</term><term>Patient Care Management</term></keywords><keywords scheme="MESH" xml:lang="en"><term>Aged</term><term>Humans</term><term>Organizational Innovation</term><term>Semantic Web</term><term>Stakeholder Participation</term></keywords></textClass></profileDesc></teiHeader><front><div type="abstract" xml:lang="en">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: To use the basis of territorial organisation of health by facilitating the link between hospital settings and geriatric sectors at the regional level.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.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.</div></front></TEI><pubmed><MedlineCitation Status="MEDLINE" Owner="NLM"><PMID Version="1">32725209</PMID><DateCompleted><Year>2020</Year><Month>08</Month><Day>10</Day></DateCompleted><DateRevised><Year>2020</Year><Month>08</Month><Day>10</Day></DateRevised><Article PubModel="Print"><Journal><ISSN IssnType="Electronic">1468-2834</ISSN><JournalIssue CitedMedium="Internet"><Volume>49</Volume><Issue>4</Issue><PubDate><Year>2020</Year><Month>07</Month><Day>01</Day></PubDate></JournalIssue><Title>Age and ageing</Title><ISOAbbreviation>Age Ageing</ISOAbbreviation></Journal><ArticleTitle>COVID-19 outbreak: organisation of a geriatric assessment and coordination unit. A French example.</ArticleTitle><Pagination><MedlinePgn>516-522</MedlinePgn></Pagination><ELocationID EIdType="doi" ValidYN="Y">10.1093/ageing/afaa092</ELocationID><Abstract><AbstractText>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: To use the basis of territorial organisation of health by facilitating the link between hospital settings and geriatric sectors at the regional level.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.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.</AbstractText><CopyrightInformation>© The Author(s) 2020. Published by Oxford University Press on behalf of the British Geriatrics Society. All rights reserved. For permissions, please email: journals.permissions@oup.com.</CopyrightInformation></Abstract><AuthorList CompleteYN="Y"><Author ValidYN="Y"><LastName>Koeberle</LastName><ForeName>Séverine</ForeName><Initials>S</Initials><AffiliationInfo><Affiliation>Geriatrics Department, CHU, Besançon, France.</Affiliation></AffiliationInfo><AffiliationInfo><Affiliation>"Ethics and Medical Progress" reseach team, INSERM CIC 1431, CHU Besançon, France.</Affiliation></AffiliationInfo></Author><Author ValidYN="Y"><LastName>Tannou</LastName><ForeName>Thomas</ForeName><Initials>T</Initials><AffiliationInfo><Affiliation>Geriatrics Department, CHU, Besançon, France.</Affiliation></AffiliationInfo><AffiliationInfo><Affiliation>"Ethics and Medical Progress" reseach team, INSERM CIC 1431, CHU Besançon, France.</Affiliation></AffiliationInfo><AffiliationInfo><Affiliation>EA 481 Neurosciences, Université de Franche-comté, Besançon, France.</Affiliation></AffiliationInfo><AffiliationInfo><Affiliation>Research Centre, Geriatric University Institute of Montreal (IUGM), Montréal, Qc, Canada.</Affiliation></AffiliationInfo></Author><Author ValidYN="Y"><LastName>Bouiller</LastName><ForeName>Kévin</ForeName><Initials>K</Initials><AffiliationInfo><Affiliation>Infectious Disease Department, CHU de Besançon, Besançon, France.</Affiliation></AffiliationInfo></Author><Author ValidYN="Y"><LastName>Becoulet</LastName><ForeName>Nicolas</ForeName><Initials>N</Initials><AffiliationInfo><Affiliation>Palliative Care Department, CHU de Besançon, Besançon, France.</Affiliation></AffiliationInfo></Author><Author ValidYN="Y"><LastName>Outrey</LastName><ForeName>Justin</ForeName><Initials>J</Initials><AffiliationInfo><Affiliation>Emergency Department, CHU de Besançon, Besançon, France.</Affiliation></AffiliationInfo></Author><Author ValidYN="Y"><LastName>Chirouze</LastName><ForeName>Catherine</ForeName><Initials>C</Initials><AffiliationInfo><Affiliation>Infectious Disease Department, CHU de Besançon, Besançon, France.</Affiliation></AffiliationInfo><AffiliationInfo><Affiliation>Laboratoire Chrono-environnement - UMR 6249 CNRS-UFC, Besançon, France.</Affiliation></AffiliationInfo></Author><Author ValidYN="Y"><LastName>Aubry</LastName><ForeName>Régis</ForeName><Initials>R</Initials><AffiliationInfo><Affiliation>Geriatrics Department, CHU, Besançon, France.</Affiliation></AffiliationInfo><AffiliationInfo><Affiliation>"Ethics and Medical Progress" reseach team, INSERM CIC 1431, CHU Besançon, France.</Affiliation></AffiliationInfo><AffiliationInfo><Affiliation>EA 481 Neurosciences, Université de Franche-comté, Besançon, France.</Affiliation></AffiliationInfo><AffiliationInfo><Affiliation>Palliative Care Department, CHU de Besançon, Besançon, France.</Affiliation></AffiliationInfo></Author></AuthorList><Language>eng</Language><PublicationTypeList><PublicationType UI="D016428">Journal Article</PublicationType></PublicationTypeList></Article><MedlineJournalInfo><Country>England</Country><MedlineTA>Age Ageing</MedlineTA><NlmUniqueID>0375655</NlmUniqueID><ISSNLinking>0002-0729</ISSNLinking></MedlineJournalInfo><SupplMeshList><SupplMeshName Type="Disease" UI="C000657245">COVID-19</SupplMeshName><SupplMeshName Type="Organism" UI="C000656484">severe acute respiratory syndrome coronavirus 2</SupplMeshName></SupplMeshList><CitationSubset>IM</CitationSubset><MeshHeadingList><MeshHeading><DescriptorName UI="D000368" MajorTopicYN="N">Aged</DescriptorName></MeshHeading><MeshHeading><DescriptorName UI="D000073640" MajorTopicYN="N">Betacoronavirus</DescriptorName><QualifierName UI="Q000302" MajorTopicYN="N">isolation & purification</QualifierName></MeshHeading><MeshHeading><DescriptorName UI="D019058" MajorTopicYN="N">Community Networks</DescriptorName><QualifierName UI="Q000458" MajorTopicYN="N">organization & 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