COVID-19 outbreak: organisation of a geriatric assessment and coordination unit. A French example.
Identifieur interne : 000856 ( Main/Exploration ); précédent : 000855; suivant : 000857COVID-19 outbreak: organisation of a geriatric assessment and coordination unit. A French example.
Auteurs : Séverine Koeberle [France] ; Thomas Tannou [France, Canada] ; Kévin Bouiller [France] ; Nicolas Becoulet [France] ; Justin Outrey [France] ; Catherine Chirouze [France] ; Régis Aubry [France]Source :
- Age and ageing [ 1468-2834 ] ; 2020.
Descripteurs français
- KwdFr :
- Betacoronavirus (isolement et purification), France (épidémiologie), Gestion des soins aux patients (organisation et administration), Gestion des soins aux patients (tendances), Gestion des soins aux patients (éthique), Humains (MeSH), Infections à coronavirus (prévention et contrôle), Infections à coronavirus (épidémiologie), Innovation organisationnelle (MeSH), Pandémies (prévention et contrôle), Participation des parties prenantes (MeSH), Pneumopathie virale (prévention et contrôle), Pneumopathie virale (épidémiologie), Programmes médicaux régionaux (organisation et administration), Rationnement des services de santé (tendances), Réseaux communautaires (organisation et administration), Services de santé pour personnes âgées (organisation et administration), Services de santé pour personnes âgées (tendances), Services de santé pour personnes âgées (éthique), Soins palliatifs (méthodes), Sujet âgé (MeSH), Toile sémantique (MeSH), Évaluation gériatrique (méthodes).
- MESH :
- isolement et purification : Betacoronavirus.
- méthodes : Soins palliatifs, Évaluation gériatrique.
- organisation et administration : Gestion des soins aux patients, Programmes médicaux régionaux, Réseaux communautaires, Services de santé pour personnes âgées.
- prévention et contrôle : Infections à coronavirus, Pandémies, Pneumopathie virale.
- tendances : Gestion des soins aux patients, Rationnement des services de santé, Services de santé pour personnes âgées.
- épidémiologie : France, Infections à coronavirus, Pneumopathie virale.
- éthique : Gestion des soins aux patients, Services de santé pour personnes âgées.
- Humains, Innovation organisationnelle, Participation des parties prenantes, Sujet âgé, Toile sémantique.
- Wicri :
- geographic : France.
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
Affiliations:
Links toward previous steps (curation, corpus...)
Le 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 wicri:level="3"><nlm:affiliation>Geriatrics Department, CHU, Besançon, France.</nlm:affiliation><country xml:lang="fr">France</country><wicri:regionArea>Geriatrics Department, CHU, Besançon</wicri:regionArea><placeName><region type="region">Bourgogne-Franche-Comté</region><region type="old region">Franche-Comté</region><settlement type="city">Besançon</settlement></placeName></affiliation><affiliation wicri:level="1"><nlm:affiliation>"Ethics and Medical Progress" reseach team, INSERM CIC 1431, CHU Besançon, France.</nlm:affiliation><country xml:lang="fr">France</country><wicri:regionArea>"Ethics and Medical Progress" reseach team, INSERM CIC 1431, CHU Besançon</wicri:regionArea><wicri:noRegion>CHU Besançon</wicri:noRegion><wicri:noRegion>CHU Besançon</wicri:noRegion></affiliation></author><author><name sortKey="Tannou, Thomas" sort="Tannou, Thomas" uniqKey="Tannou T" first="Thomas" last="Tannou">Thomas Tannou</name><affiliation wicri:level="3"><nlm:affiliation>Geriatrics Department, CHU, Besançon, France.</nlm:affiliation><country xml:lang="fr">France</country><wicri:regionArea>Geriatrics Department, CHU, Besançon</wicri:regionArea><placeName><region type="region">Bourgogne-Franche-Comté</region><region type="old region">Franche-Comté</region><settlement type="city">Besançon</settlement></placeName></affiliation><affiliation wicri:level="1"><nlm:affiliation>"Ethics and Medical Progress" reseach team, INSERM CIC 1431, CHU Besançon, France.</nlm:affiliation><country xml:lang="fr">France</country><wicri:regionArea>"Ethics and Medical Progress" reseach team, INSERM CIC 1431, CHU Besançon</wicri:regionArea><wicri:noRegion>CHU Besançon</wicri:noRegion><wicri:noRegion>CHU Besançon</wicri:noRegion></affiliation><affiliation wicri:level="4"><nlm:affiliation>EA 481 Neurosciences, Université de Franche-comté, Besançon, France.</nlm:affiliation><country xml:lang="fr">France</country><wicri:regionArea>EA 481 Neurosciences, Université de Franche-comté, Besançon</wicri:regionArea><placeName><region type="region">Bourgogne-Franche-Comté</region><region type="old region">Franche-Comté</region><settlement type="city">Besançon</settlement></placeName><orgName type="university">Université de Franche-Comté</orgName></affiliation><affiliation wicri:level="1"><nlm:affiliation>Research Centre, Geriatric University Institute of Montreal (IUGM), Montréal, Qc, Canada.</nlm:affiliation><country xml:lang="fr">Canada</country><wicri:regionArea>Research Centre, Geriatric University Institute of Montreal (IUGM), Montréal, Qc</wicri:regionArea><wicri:noRegion>Qc</wicri:noRegion></affiliation></author><author><name sortKey="Bouiller, Kevin" sort="Bouiller, Kevin" uniqKey="Bouiller K" first="Kévin" last="Bouiller">Kévin Bouiller</name><affiliation wicri:level="3"><nlm:affiliation>Infectious Disease Department, CHU de Besançon, Besançon, France.</nlm:affiliation><country xml:lang="fr">France</country><wicri:regionArea>Infectious Disease Department, CHU de Besançon, Besançon</wicri:regionArea><placeName><region type="region">Bourgogne-Franche-Comté</region><region type="old region">Franche-Comté</region><settlement type="city">Besançon</settlement></placeName></affiliation></author><author><name sortKey="Becoulet, Nicolas" sort="Becoulet, Nicolas" uniqKey="Becoulet N" first="Nicolas" last="Becoulet">Nicolas Becoulet</name><affiliation wicri:level="3"><nlm:affiliation>Palliative Care Department, CHU de Besançon, Besançon, France.</nlm:affiliation><country xml:lang="fr">France</country><wicri:regionArea>Palliative Care Department, CHU de Besançon, Besançon</wicri:regionArea><placeName><region type="region">Bourgogne-Franche-Comté</region><region type="old region">Franche-Comté</region><settlement type="city">Besançon</settlement></placeName></affiliation></author><author><name sortKey="Outrey, Justin" sort="Outrey, Justin" uniqKey="Outrey J" first="Justin" last="Outrey">Justin Outrey</name><affiliation wicri:level="3"><nlm:affiliation>Emergency Department, CHU de Besançon, Besançon, France.</nlm:affiliation><country xml:lang="fr">France</country><wicri:regionArea>Emergency Department, CHU de Besançon, Besançon</wicri:regionArea><placeName><region type="region">Bourgogne-Franche-Comté</region><region type="old region">Franche-Comté</region><settlement type="city">Besançon</settlement></placeName></affiliation></author><author><name sortKey="Chirouze, Catherine" sort="Chirouze, Catherine" uniqKey="Chirouze C" first="Catherine" last="Chirouze">Catherine Chirouze</name><affiliation wicri:level="3"><nlm:affiliation>Infectious Disease Department, CHU de Besançon, Besançon, France.</nlm:affiliation><country xml:lang="fr">France</country><wicri:regionArea>Infectious Disease Department, CHU de Besançon, Besançon</wicri:regionArea><placeName><region type="region">Bourgogne-Franche-Comté</region><region type="old region">Franche-Comté</region><settlement type="city">Besançon</settlement></placeName></affiliation><affiliation wicri:level="3"><nlm:affiliation>Laboratoire Chrono-environnement - UMR 6249 CNRS-UFC, Besançon, France.</nlm:affiliation><country xml:lang="fr">France</country><wicri:regionArea>Laboratoire Chrono-environnement - UMR 6249 CNRS-UFC, Besançon</wicri:regionArea><placeName><region type="region">Bourgogne-Franche-Comté</region><region type="old region">Franche-Comté</region><settlement type="city">Besançon</settlement></placeName></affiliation></author><author><name sortKey="Aubry, Regis" sort="Aubry, Regis" uniqKey="Aubry R" first="Régis" last="Aubry">Régis Aubry</name><affiliation wicri:level="3"><nlm:affiliation>Geriatrics Department, CHU, Besançon, France.</nlm:affiliation><country xml:lang="fr">France</country><wicri:regionArea>Geriatrics Department, CHU, Besançon</wicri:regionArea><placeName><region type="region">Bourgogne-Franche-Comté</region><region type="old region">Franche-Comté</region><settlement type="city">Besançon</settlement></placeName></affiliation><affiliation wicri:level="1"><nlm:affiliation>"Ethics and Medical Progress" reseach team, INSERM CIC 1431, CHU Besançon, France.</nlm:affiliation><country xml:lang="fr">France</country><wicri:regionArea>"Ethics and Medical Progress" reseach team, INSERM CIC 1431, CHU Besançon</wicri:regionArea><wicri:noRegion>CHU Besançon</wicri:noRegion><wicri:noRegion>CHU Besançon</wicri:noRegion></affiliation><affiliation wicri:level="4"><nlm:affiliation>EA 481 Neurosciences, Université de Franche-comté, Besançon, France.</nlm:affiliation><country xml:lang="fr">France</country><wicri:regionArea>EA 481 Neurosciences, Université de Franche-comté, Besançon</wicri:regionArea><placeName><region type="region">Bourgogne-Franche-Comté</region><region type="old region">Franche-Comté</region><settlement type="city">Besançon</settlement></placeName><orgName type="university">Université de Franche-Comté</orgName></affiliation><affiliation wicri:level="3"><nlm:affiliation>Palliative Care Department, CHU de Besançon, Besançon, France.</nlm:affiliation><country xml:lang="fr">France</country><wicri:regionArea>Palliative Care Department, CHU de Besançon, Besançon</wicri:regionArea><placeName><region type="region">Bourgogne-Franche-Comté</region><region type="old region">Franche-Comté</region><settlement type="city">Besançon</settlement></placeName></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 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xml:lang="fr"><term>Betacoronavirus (isolement et purification)</term><term>France (épidémiologie)</term><term>Gestion des soins aux patients (organisation et administration)</term><term>Gestion des soins aux patients (tendances)</term><term>Gestion des soins aux patients (éthique)</term><term>Humains (MeSH)</term><term>Infections à coronavirus (prévention et contrôle)</term><term>Infections à coronavirus (épidémiologie)</term><term>Innovation organisationnelle (MeSH)</term><term>Pandémies (prévention et contrôle)</term><term>Participation des parties prenantes (MeSH)</term><term>Pneumopathie virale (prévention et contrôle)</term><term>Pneumopathie virale (épidémiologie)</term><term>Programmes médicaux régionaux (organisation et administration)</term><term>Rationnement des services de santé (tendances)</term><term>Réseaux communautaires (organisation et administration)</term><term>Services de santé pour personnes âgées (organisation et administration)</term><term>Services de santé pour personnes âgées (tendances)</term><term>Services de santé pour personnes âgées (éthique)</term><term>Soins palliatifs (méthodes)</term><term>Sujet âgé (MeSH)</term><term>Toile sémantique (MeSH)</term><term>Évaluation gériatrique (méthodes)</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="isolement et purification" xml:lang="fr"><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="méthodes" xml:lang="fr"><term>Soins palliatifs</term><term>Évaluation gériatrique</term></keywords><keywords scheme="MESH" qualifier="organisation et administration" xml:lang="fr"><term>Gestion des soins aux patients</term><term>Programmes médicaux régionaux</term><term>Réseaux communautaires</term><term>Services de santé pour personnes âgées</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="prévention et contrôle" xml:lang="fr"><term>Infections à coronavirus</term><term>Pandémies</term><term>Pneumopathie virale</term></keywords><keywords scheme="MESH" qualifier="tendances" xml:lang="fr"><term>Gestion des soins aux patients</term><term>Rationnement des services de santé</term><term>Services de santé pour personnes âgées</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" qualifier="épidémiologie" xml:lang="fr"><term>France</term><term>Infections à coronavirus</term><term>Pneumopathie virale</term></keywords><keywords scheme="MESH" qualifier="éthique" xml:lang="fr"><term>Gestion des soins aux patients</term><term>Services de santé pour personnes âgées</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><keywords scheme="MESH" xml:lang="fr"><term>Humains</term><term>Innovation organisationnelle</term><term>Participation des parties prenantes</term><term>Sujet âgé</term><term>Toile sémantique</term></keywords><keywords scheme="Wicri" type="geographic" xml:lang="fr"><term>France</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 & administration</QualifierName></MeshHeading><MeshHeading><DescriptorName UI="D018352" MajorTopicYN="Y">Coronavirus Infections</DescriptorName><QualifierName UI="Q000453" MajorTopicYN="N">epidemiology</QualifierName><QualifierName UI="Q000517" MajorTopicYN="N">prevention & control</QualifierName></MeshHeading><MeshHeading><DescriptorName UI="D005602" MajorTopicYN="N" Type="Geographic">France</DescriptorName><QualifierName UI="Q000453" MajorTopicYN="N">epidemiology</QualifierName></MeshHeading><MeshHeading><DescriptorName UI="D015577" MajorTopicYN="N">Geriatric Assessment</DescriptorName><QualifierName UI="Q000379" MajorTopicYN="Y">methods</QualifierName></MeshHeading><MeshHeading><DescriptorName UI="D015276" MajorTopicYN="N">Health Care Rationing</DescriptorName><QualifierName UI="Q000639" MajorTopicYN="N">trends</QualifierName></MeshHeading><MeshHeading><DescriptorName UI="D006299" MajorTopicYN="Y">Health Services for the Aged</DescriptorName><QualifierName UI="Q000941" MajorTopicYN="N">ethics</QualifierName><QualifierName UI="Q000458" MajorTopicYN="N">organization & administration</QualifierName><QualifierName UI="Q000639" MajorTopicYN="N">trends</QualifierName></MeshHeading><MeshHeading><DescriptorName UI="D006801" MajorTopicYN="N">Humans</DescriptorName></MeshHeading><MeshHeading><DescriptorName UI="D009936" MajorTopicYN="N">Organizational Innovation</DescriptorName></MeshHeading><MeshHeading><DescriptorName UI="D010166" MajorTopicYN="N">Palliative Care</DescriptorName><QualifierName UI="Q000379" MajorTopicYN="N">methods</QualifierName></MeshHeading><MeshHeading><DescriptorName UI="D058873" MajorTopicYN="Y">Pandemics</DescriptorName><QualifierName UI="Q000517" MajorTopicYN="N">prevention & control</QualifierName></MeshHeading><MeshHeading><DescriptorName UI="D010346" MajorTopicYN="Y">Patient Care Management</DescriptorName><QualifierName UI="Q000941" MajorTopicYN="N">ethics</QualifierName><QualifierName UI="Q000458" MajorTopicYN="N">organization & administration</QualifierName><QualifierName UI="Q000639" MajorTopicYN="N">trends</QualifierName></MeshHeading><MeshHeading><DescriptorName UI="D011024" MajorTopicYN="Y">Pneumonia, Viral</DescriptorName><QualifierName UI="Q000453" MajorTopicYN="N">epidemiology</QualifierName><QualifierName UI="Q000517" MajorTopicYN="N">prevention & control</QualifierName></MeshHeading><MeshHeading><DescriptorName UI="D012041" MajorTopicYN="N">Regional Medical Programs</DescriptorName><QualifierName UI="Q000458" MajorTopicYN="Y">organization & administration</QualifierName></MeshHeading><MeshHeading><DescriptorName UI="D000075403" MajorTopicYN="N">Semantic Web</DescriptorName></MeshHeading><MeshHeading><DescriptorName UI="D000073597" MajorTopicYN="N">Stakeholder Participation</DescriptorName></MeshHeading></MeshHeadingList><KeywordList Owner="NOTNLM"><Keyword MajorTopicYN="Y">COVID-19</Keyword><Keyword MajorTopicYN="Y">decision-making</Keyword><Keyword MajorTopicYN="Y">ethics</Keyword><Keyword MajorTopicYN="Y">geriatrics</Keyword><Keyword MajorTopicYN="Y">healthcare organisation</Keyword><Keyword MajorTopicYN="Y">older people</Keyword><Keyword MajorTopicYN="Y">palliative care</Keyword></KeywordList></MedlineCitation><PubmedData><History><PubMedPubDate PubStatus="received"><Year>2020</Year><Month>03</Month><Day>28</Day></PubMedPubDate><PubMedPubDate PubStatus="entrez"><Year>2020</Year><Month>7</Month><Day>30</Day><Hour>6</Hour><Minute>0</Minute></PubMedPubDate><PubMedPubDate PubStatus="pubmed"><Year>2020</Year><Month>7</Month><Day>30</Day><Hour>6</Hour><Minute>0</Minute></PubMedPubDate><PubMedPubDate PubStatus="medline"><Year>2020</Year><Month>8</Month><Day>11</Day><Hour>6</Hour><Minute>0</Minute></PubMedPubDate></History><PublicationStatus>ppublish</PublicationStatus><ArticleIdList><ArticleId IdType="pubmed">32725209</ArticleId><ArticleId IdType="pii">5831132</ArticleId><ArticleId IdType="doi">10.1093/ageing/afaa092</ArticleId><ArticleId 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IdType="pubmed">32113704</ArticleId></ArticleIdList></Reference></ReferenceList></PubmedData></pubmed><affiliations><list><country><li>Canada</li><li>France</li></country><region><li>Bourgogne-Franche-Comté</li><li>Franche-Comté</li></region><settlement><li>Besançon</li></settlement><orgName><li>Université de Franche-Comté</li></orgName></list><tree><country name="France"><region name="Bourgogne-Franche-Comté"><name sortKey="Koeberle, Severine" sort="Koeberle, Severine" uniqKey="Koeberle S" first="Séverine" last="Koeberle">Séverine Koeberle</name></region><name sortKey="Aubry, Regis" sort="Aubry, Regis" uniqKey="Aubry R" first="Régis" last="Aubry">Régis Aubry</name><name sortKey="Aubry, Regis" sort="Aubry, Regis" uniqKey="Aubry R" first="Régis" last="Aubry">Régis Aubry</name><name sortKey="Aubry, Regis" sort="Aubry, Regis" uniqKey="Aubry R" first="Régis" last="Aubry">Régis Aubry</name><name sortKey="Aubry, Regis" sort="Aubry, Regis" uniqKey="Aubry R" first="Régis" last="Aubry">Régis Aubry</name><name sortKey="Becoulet, Nicolas" sort="Becoulet, Nicolas" uniqKey="Becoulet N" first="Nicolas" last="Becoulet">Nicolas Becoulet</name><name sortKey="Bouiller, Kevin" sort="Bouiller, Kevin" uniqKey="Bouiller K" first="Kévin" last="Bouiller">Kévin Bouiller</name><name sortKey="Chirouze, Catherine" sort="Chirouze, Catherine" uniqKey="Chirouze C" first="Catherine" last="Chirouze">Catherine Chirouze</name><name sortKey="Chirouze, Catherine" sort="Chirouze, Catherine" uniqKey="Chirouze C" first="Catherine" last="Chirouze">Catherine Chirouze</name><name sortKey="Koeberle, Severine" sort="Koeberle, Severine" uniqKey="Koeberle S" first="Séverine" last="Koeberle">Séverine Koeberle</name><name sortKey="Outrey, Justin" sort="Outrey, Justin" uniqKey="Outrey J" first="Justin" last="Outrey">Justin Outrey</name><name sortKey="Tannou, Thomas" sort="Tannou, Thomas" uniqKey="Tannou T" first="Thomas" last="Tannou">Thomas Tannou</name><name sortKey="Tannou, Thomas" sort="Tannou, Thomas" 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