• Rev Esp Geriatr Gerontol · May 2021

    [Liaison geriatrics with nursing homes in COVID time. A new coordination model arrived to stay].

    • Rocío Menéndez-Colino, Francesca Argentina, de MiguelAna MerelloAMServicio de Geriatría. Hospital Universitario La Paz, Madrid, España; Unidad de Geriatría de Enlace, Servicio de Geriatría, Hospital Universitario La Paz, Madrid, España., Montserrat Barcons Marqués, Blanca Chaparro Jiménez, Carolina Figueroa Poblete, Teresa Alarcón, Francisco Javier Martínez Peromingo, and Juan Ignacio González-Montalvo.
    • Servicio de Geriatría. Hospital Universitario La Paz, Madrid, España; Facultad de Medicina. Universidad Autónoma de Madrid, Madrid, España; Instituto de Investigación IdiPAZ, Hospital Universitario La Paz, Madrid, España; Unidad de Geriatría de Enlace, Servicio de Geriatría, Hospital Universitario La Paz, Madrid, España. Electronic address: rocio.menendez@salud.madrid.org.
    • Rev Esp Geriatr Gerontol. 2021 May 1; 56 (3): 157-165.

    AbstractOlder people living in nursing homes fulfil the criteria to be considered as geriatric patients, but they often do not have met their health care needs. Current deficits appeared as a result of COVID-19 pandemic. The need to improve the coordination between hospitals and nursing homes emerged, and in Madrid it materialized with the implantation of Liaison Geriatrics teams or units at public hospitals. The Sociedad Española de Geriatría y Gerontología has defined the role of the geriatricians in the COVID-19 pandemic and they have given guidelines about prevention, early detection, isolation and sectorization, training, care homes classification, patient referral coordination, and the role of the different care settings, among others. These units and teams also must undertake other care activities that have a shortfall currently, like nursing homes-hospital coordination, geriatricians visits to the homes, telemedicine sessions, geriatric assessment in emergency rooms, and primary care and public health services coordination. This paper describes the concept of Liaison Geriatrics and its implementation at the Autonomous Community of Madrid hospitals as a result of COVID-19 pandemic. Activity data from a unit at a hospital with a huge number of nursing homes in its catchment area are reported. The objective is to understand the need of this activity in order to avoid the current fragmentation of care between hospitals and nursing homes. This activity should be consolidated in the future.Copyright © 2021 SEGG. Publicado por Elsevier España, S.L.U. All rights reserved.

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