Introduction/purposes <p>The role of geriatricians has evolved across Europe in response to increasing ageing populations. However, there is much variation with some countries providing a range of geriatric medicine (GM) services, while others have few or no services. This survey assessed the type and frequency of different GM services provided across Europe.</p> Methods <p>A cross-sectional survey of the board members of the European Union of Medical Specialists-Geriatric Medicine Section was performed, requesting information on the existence and frequency of 25 types of possible GM-related services (ranging from inpatient, rehabilitation, liaison, outpatient and community services). The questionnaire classified service availability from institutions into four levels: No-0(not available), Yes-1(Minority of institutions &lt; 25%), Yes-2(Some; 25–75%) or Yes-3(Majority; &gt; 75%). A descriptive comparative analysis was performed.</p> Results <p>We got responses from 39 countries, divided into 4 geographical regions: Nordic (<i>n</i> = 5), Central/West Europe (<i>n</i> = 9), East Europe (<i>n</i> = 17) and South Europe (<i>n</i> = 8). We found great variation in services between countries, with the Nordic (80%) and Central/West (86.2%) countries providing most of the surveyed geriatric medicine services, while East Europe lacked most geriatric medicine services (24.9% only) and South Europe having a mixed picture. A notable 33% of the countries reported having no acute geriatric wards, 17.9% in a minority, 17.9% in some and 30.7% in most of the institutions in their countries.</p> Conclusion <p>This is the first large survey of provision of GM services across Europe and shows wide discrepancy across European countries. The data will be helpful for discussions with policy makers in developing GM services in their countries.</p>

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Prevalence and range of geriatric medicine services across Europe: a survey of 39 countries

  • Kwei Eng Tan,
  • Mutaz Eltayeeb,
  • Zakee Arrain,
  • Jūratė Macijauskienė,
  • Mark Anthony Vassallo,
  • Marina Kotsani,
  • Michael Vassallo,
  • Marianne van Iersel,
  • Roman Romero-Ortuno,
  • Tahir Masud,
  • Thomas Fruhwald,
  • Joakim Huber,
  • Didier Schoevaerdts,
  • Johan Flamaing,
  • Toni Staykova,
  • Krasimir Vizev,
  • Miroslav Hanzevacki,
  • Tajana Pavic,
  • Eva Topinkova,
  • Pavel Weber,
  • Lotte Usinger,
  • Martin Schultz,
  • Helgi Kolk,
  • Maria Nuotio,
  • Jouko Laurila,
  • Eija Lonnroos,
  • Sylvie Bonin-Guillaume,
  • Hubert Blain,
  • Dieter Lüttje,
  • Cornelius Bolheimer Swoboda,
  • Ioannis Karaitianos,
  • Gyula Bako,
  • Bela Szekacs,
  • Ólafur Samúelssonlsson,
  • Konstantin Shcherback,
  • Roman Romero-Ortuño,
  • Mark Clarfield,
  • Renzo Rozzini,
  • Alekna Vidmantas,
  • Jurate Macijauskiene,
  • Ana Sanchez-Guevara,
  • Mark Vassallo,
  • Melanie Debono,
  • John Cordina,
  • Haakon Ihle-Hansen,
  • Sameer Maini,
  • Hege Ihle-Hansen,
  • Katarzyna Wieczorowska-Tobis,
  • Verissimo Teixeira,
  • Sofia Duque,
  • Gabriel Prada,
  • Ioana Dana Alexa,
  • Predrag Erceg,
  • Mladen Davidovic,
  • Silvester Krcmery,
  • Peter Mikus,
  • Lea Zmuc-Veranic,
  • Gregor Veninsek,
  • Maria Victoria Farre Mercade,
  • Jésus Mateos del Nozal,
  • Peter Nordstrom,
  • Greger Slättman,
  • Christophe Graf,
  • Jaap Krulder,
  • Huub Maas,
  • Güneş Arik,
  • Zekeriya Ulger,
  • Oleg Nadashkevich,
  • Wilkinson Iain,
  • Santiago Cotobal Rodeles,
  • Thomas Münzer,
  • Mario Barbagallo,
  • Klejda Harasami,
  • Fatjona Kamberi,
  • Naim Jerliu,
  • Biljana Zovic,
  • Adam Lelbach,
  • Ignat Petrov,
  • Dimitrije Jakovljevic,
  • Alma Pobric

摘要

Introduction/purposes

The role of geriatricians has evolved across Europe in response to increasing ageing populations. However, there is much variation with some countries providing a range of geriatric medicine (GM) services, while others have few or no services. This survey assessed the type and frequency of different GM services provided across Europe.

Methods

A cross-sectional survey of the board members of the European Union of Medical Specialists-Geriatric Medicine Section was performed, requesting information on the existence and frequency of 25 types of possible GM-related services (ranging from inpatient, rehabilitation, liaison, outpatient and community services). The questionnaire classified service availability from institutions into four levels: No-0(not available), Yes-1(Minority of institutions < 25%), Yes-2(Some; 25–75%) or Yes-3(Majority; > 75%). A descriptive comparative analysis was performed.

Results

We got responses from 39 countries, divided into 4 geographical regions: Nordic (n = 5), Central/West Europe (n = 9), East Europe (n = 17) and South Europe (n = 8). We found great variation in services between countries, with the Nordic (80%) and Central/West (86.2%) countries providing most of the surveyed geriatric medicine services, while East Europe lacked most geriatric medicine services (24.9% only) and South Europe having a mixed picture. A notable 33% of the countries reported having no acute geriatric wards, 17.9% in a minority, 17.9% in some and 30.7% in most of the institutions in their countries.

Conclusion

This is the first large survey of provision of GM services across Europe and shows wide discrepancy across European countries. The data will be helpful for discussions with policy makers in developing GM services in their countries.