Mainstream or Extinction: Can Defining Who We Are Save Geriatrics?
Mainstream or Extinction: Can Defining Who We Are Save Geriatrics?
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DOI：
10.1111/jgs.14181
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发表时间：
2016-07-01
影响因子：
6.3
通讯作者：
Tinetti, Mary
中科院分区：
文献类型：
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作者：
Tinetti, Mary
小“g”老年医学的指导原则和技能越来越多地告知医疗保健服务，以人为本的研究，医学教育和卫生政策。与此同时，大“G”老年医学领域努力招募新的研究员，并提供一个单一的，一致的，统一的理解，我们是谁，我们做什么。我们的灭绝从一开始就被预测到了，多年来反复预测，但在此之前，我们的选择似乎是作为一个物种因缺乏复制而灭绝，还是作为一个边缘化的领域生存。我们目前的情况包括另一种情况：我们的原则将定义主流医疗保健，而该领域消失。在开始讨论我们目前的战略和战术有什么问题以及我们应该采取什么不同的做法来增加我们的生存机会之前，让我们记住我们已经取得了许多成功。
The guiding principles and skills of small “g” geriatrics increasingly inform healthcare delivery, personoriented research, medical education, and health policy. At the same time, the field of big “G” Geriatrics struggles to recruit new fellows and to provide a single, consistent, unified understanding of who we are and what we do. Our extinction has been predicted from the beginning and repeatedly over the years, 1, 2 but previously, our options appeared to be extinction as a species from lack of replication versus survival as a marginalized field. Our current situation includes an alternative scenario: our principles will define mainstream health care while the field disappears. Before launching into what is wrong with our current strategies and tactics and what we should do differently to increase our chance of survival, let’s remember that we have had many successes.