Age- and Frail-Friendly Hospital
Care of frail, elderly patients in acute-care hospitals is becoming more challenging. Patients 65 years and older account for 25–30% of hospital discharges and 40–50% of hospital days in Taiwan. Up to one-third of the hospitalized frail elderly lose independent functioning in one or more activities of daily living as a result of the hostile environment that is present in many acute-care hospitals, both domestic and international.
Guiding principles for our "age-friendly hospitals" (高齡友善健康照護醫院) concept include:
- a favorable physical environment;
- zero tolerance for ageism throughout the hospital;
- an integrated process to develop holistic services using the geriatric approach; and
- fostering links between the hospital, the home, and the community to provide a continuum of care for the elderly.
The age-friendly hospital concept we practice should lead the way in enabling hospitals in the fast-moving health care system to deliver high-quality care without jeopardizing function, risk-benefit, and quality-of-life balances for the frail elderly.
Our hospital management team and managing concept are also committed to these changes and challenges, especially with the competing priorities in a fiscal environment with limited funding. The implementation of a hospital-wide delirium management program and a falls prevention program are examples of interventions that embody many of the principles in the age-friendly hospital concept.
At CMUH, our team is trained and experienced in care of the elderly, and we endeavor to create the best possible environment for our patients to receive care and support.