Elder patients with comorbidities are a rapidly growing population for in- and outpatient care. Diagnosis, treatment and integrated care are challenges which are only met by a multidisciplinary approach, which includes specialists from different medical professions and health professionals. A high number of comorbidities are a risk factor for drug interactions and fragmentisation of patient care between different medical disciplines. This is in particular relevant for patients with rheumatic diseases. So far it is not known whether treatment strategies such as the aim of remission induction in RA can be transferred as it is to the care of elder patients. Moreover, the safety and effectiveness of drugs used for the treatment of rheumatology patients has not yet been intensively studied. To meet the challenge of the care of a growing group of elder and multimorbid patients with rheumatic diseases, the reimbursement systems for in- and outpatient care must be adapted to allow multidisciplinary approaches. A concept for such a multidisciplinary procedure for inpatients with rheumatic diseases is introduced.

译文

:患有合并症的老年患者正在迅速增加的住院和门诊护理人数。诊断,治疗和综合护理是挑战,只有多学科方法才能应对,其中包括来自不同医学专业和卫生专业人员的专家。大量合并症是不同医学学科之间药物相互作用和患者护理分散的危险因素。这对于风湿性疾病患者尤其重要。到目前为止,还不知道是否可以将治疗策略(如RA中诱导缓解的目的)直接转移到老年患者的护理中。而且,尚未广泛研究用于治疗风湿病患者的药物的安全性和有效性。为了应对越来越多的风湿性疾病的老年和多病患者的护理挑战,必须调整住院和门诊护理的报销系统,以允许采用多学科方法。引入了针对风湿病患者的这种多学科程序的概念。

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