Adapting Canadian Health Care to an Aging Population
Notice bibliographique
Résumé
The baby boomers, born between 1946 and 1964, account for approximately one-third of Canada’s population. The first of the baby boomers will turn 65 this year, 1 and it is estimated that by 2025 there will be more people in Canada over the age of 65 than there will be under the age of 14. 2 Healthcare systems in Canada as well as other Western nations are in the process of adapting to this unprecedented growth of elderly populations. The challenges of meeting the needs of the elderly have become prominent topics of discussion within the healthcare community and beyond. Research and clinical experiences continue to provide our discussions with new insights into the unique set of healthcare needs of the elderly. Aging is characterized by a progressive decline in physiological functioning that ultimately challenges both psychological and social functioning. 3 As such, the needs of the elderly cannot be adequately addressed through medical approaches alone; for high quality care, a holistic biopsychosocial model of health must be considered. Moreover, geriatric medicine is complicated by polypharmacy, by a tendency for patients to have multiple comorbidities, and by presentations and prognoses of illnesses that often differ substantially from younger populations. 2 With increasing recognition of the importance of these issues, Canadian medical schools are beginning to implement curricular components that emphasize the specialized care of the elderly as a discrete population. For example, at UBC, students get exposure as early as first year when they visit nursing homes to interview elderly patients. Furthermore, five of the 17 Canadian medical schools have already instituted mandatory geriatrics rotations. 2 The UBCMJ believes that exposure to geriatric care early in medical training is essential to equipping future physicians with the skill set necessary to manage the demands of our expanding elderly population. In this issue, Dr. Roger Wong, Vice President of the Canadian Geriatrics Society and Head of the Geriatric Consultation Program at the Vancouver Acute Health Service Delivery Area, reflects on geriatric medicine through the lens of a medical student. In his letter to future doctors, Dr. Wong reflects upon his experiences in geriatrics and offers pearls of clinical wisdom to students. “The pre-requisite of good clinical care in the older patient,” writes Dr. Wong, “involves a thorough understanding of the interactions among complex medicine, cognition, physical function, and psychosocial support.” These words speak to the importance that Dr. Wong places on a holistic approach to geriatric care. This issue of the UBCMJ also includes articles by our staff writers that explore new ideas in specific areas of geriatric medicine: potential new treatments for Alzheimer’s disease, means for encouraging seniors to stay active, and current research in agerelated macular degeneration. Moreover, our staff writers report on two opportunities for students to learn more about geriatric care: the UBC Geriatric Dentistry Program and Canada’s Summer Institute in Geriatrics. Furthermore, this issue provides insights into the some of the molecular causes of the aging through the review article “Accelerated Aging in Patients with HutchinsonGilford Progeria Syndrome.”
Récupéré en direct depuis OpenAlex et désinversé. Les résumés ne sont pas conservés dans cette base de données : les index inversés représentent 8,6 Go des 9,3 Go de texte de la base, et le serveur dispose de 13 Go libres.
Comment cette classification a été obtenuedéplier
Prédiction distillée sur la base complète
Imitation des enseignantsNi prévalence calibrée, ni vérité terrain. Validation humaine à venir. Apprise à partir de 10 348 étiquettes directes de Codex et de 10 348 étiquettes directes de Gemma. Le mode candidate est l'union des têtes enseignantes seuillées; le consensus est leur intersection. Ces sorties portent le statut machine_predicted_unvalidated et ne sont ni des étiquettes humaines ni des étiquettes directes de modèles de pointe.
Scores Codex et Gemma par catégorie
| Catégorie | Codex | Gemma |
|---|---|---|
| Métarecherche | 0,002 | 0,002 |
| Méta-épidémiologie (sens strict) | 0,000 | 0,000 |
| Méta-épidémiologie (sens large) | 0,001 | 0,000 |
| Bibliométrie | 0,001 | 0,000 |
| Études des sciences et des technologies | 0,000 | 0,000 |
| Communication savante | 0,000 | 0,000 |
| Science ouverte | 0,000 | 0,000 |
| Intégrité de la recherche | 0,000 | 0,001 |
| Charge utile insuffisante (le modèle a refusé de juger) | 0,002 | 0,000 |
Scores machine (provisoires)
Les deux têtes enseignantes du modèle étudiant, lues sur ce travail. Un score ordonne la base pour la relecture; il n'affirme jamais une catégorie, et le statut de validation accompagne chaque rangée tel quel.
Scores de référence d'un modèle non mature (critères de maturité non atteints, 7 itérations). Un score ordonne; il n'affirme jamais une catégorie.
score_only:v0-immature-baseline · tel quel depuis la passe de notation : score_only signifie que le nombre peut ordonner les travaux, et qu'aucune étiquette de catégorie n'en découleClassification
machine, non validéePrédiction automatique; un appel candidat d’une seule tête enseignante, pas un consensus.
Le détail, modèle par modèle et score par score, se trouve en fin de page sous « Comment cette classification a été obtenue ».