Age-friendly care in the Veterans Health Administration: past, present, and future

被引：20

作者：

Farrell, Timothy W. ^{[1
,2
,3
]}

Volden, Tiffany A. ^{[1
,3
]}

Butler, Jorie M. ^{[1
,2
,3
,4
]}

Eleazer, G. Paul ^{[1
,2
,3
]}

Rupper, Randall W. ^{[1
,2
,3
]}

Echt, Katharina, V ^{[5
,6
,7
,8
]}

Shaughnessy, Marianne ^{[9
]}

Supiano, Mark A. ^{[1
]}

机构：

[1] Univ Utah, Dept Internal Med, Div Geriatr, Spencer Fox Eccles Sch Med, 30 N 1900 E,AB 193 SOM, Salt Lake City, UT 84132 USA

[2] VA Salt Lake City Geriatr Res Educ & Clin Ctr GRE, Salt Lake City, UT USA

[3] VA Salt Lake City Healthcare Syst, Salt Lake City, UT USA

[4] Univ Utah, Dept Biomed Informat, Spencer Fox Eccles Sch Med, Salt Lake City, UT 84132 USA

[5] VA Birmingham Atlanta Geriatr Res Educ & Clin Ctr, Birmingham, AL USA

[6] VA Birmingham Atlanta Geriatr Res Educ & Clin Ctr, Decatur, GA USA

[7] Emory Univ, Div Geriatr & Gerontol, Sch Med, Atlanta, GA USA

[8] Univ Alabama Birmingham, Heersink Sch Med, Dept Med, Div Gerontol Geriatr & Palliat Care, Birmingham, AL USA

[9] Vet Hlth Adm, Dept Vet Affairs, Off Geriatr & Extended Care, Washington, DC USA

来源：

JOURNAL OF THE AMERICAN GERIATRICS SOCIETY | 2023年 / 71卷 / 01期

关键词：

Age-Friendly Health Systems; Geriatric Research; Education; and Clinical Centers; Veterans Health Administration; GERIATRIC RESEARCH; CLINICAL CENTERS; EDUCATION;

D O I：

10.1111/jgs.18070

中图分类号：

R592 [老年病学]; C [社会科学总论];

学科分类号：

03 ; 0303 ; 100203 ;

摘要：

The Veterans Health Administration (VHA) has long recognized the need for age-friendly care. VHA leadership anticipated the impact of aging World War II veterans on VA healthcare systems and in 1975 developed Geriatric Research, Education, and Clinical Centers (GRECCs) to meet this need. GRECCs catalyzed a series of innovations in geriatric models of care that span the continuum of care, most of which endure. These innovative care models also contributed to the evidence base supporting the present-day Age-Friendly Health Systems movement, with which VHA is inherently aligned. As both a provider of and payor for care, VHA is strongly incentivized to promote coordination across the continuum of care, with resultant cost savings. VHA is also a major contributor to developing the workforce that is essential for the provision of age-friendly care. As VHA continues to develop and refine innovative geriatric models of care, policymakers and non-VHA health care systems should look to VHA programs as exemplars for the development and implementation of age-friendly care.

引用

页码：18 / 25

页数：8