Setting the Scene Ageing, elderely and complex care needs

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Setting the SceneAgeing, elderely and complex
care needs

• Challenges and opportunities
• Erik Buskens

Erik Buskens, UMC Groningen
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Dutch ageing
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14 (25) Increase population,
decreased fertility rate and increased life
expectancy
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Ageing next decades
24 (38)
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Temporary phenomenon Baby boomers extinct by
2050
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Functional reserves
Principles of Geriatric Medicine and Gerontology,
Chapter 116 Frailty and Failure to Thrive, Fried
Walston 2003, 1487-1502
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Example needs
Residency
Informal care needs
ADL limitations
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Management of care in relation to care needs

• Distress
• Short episode of illness
• Mild acute illness

Primary care Health plan
Low

• Chronic illness
• Moderate to serious illness

Disease management
Medium
Complex Patients Multi-morbidity, including
psychiatric Multiple health care
providers Psychological-, social- and financial
deregulations
Individualised care trajectories
High
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University Medical Center Groningen (UMCG)?
Patient care Research Teaching
Theme Healthy Ageing
Building the Future of Health
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Central Theme RuG/UMCG Healthy Ageing
Not adding years to life, but rather life to
years
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Healthy Ageing Network Northern Netherlands
Region of Knowledge Development

5 RuG Faculties Higher education Institutes
UMCG Healthy Ageing
Care
Research
Education, Training, Job opportunities
Intern topics Intern
functionàl Regional
GIHAr
UMCG Graduate School
Wenckebach training Geriatric care
Masters Medical Sciences
Technologies for the elderly Biomaterials etc
ERIBA i.o.
LifeLines
Mental Health i.o. ICPE Alzheimer Center
Groningen Etc.
UCO/NPO-NN
Protonen Faciliteit i.o.
Inter- national National
UMCG
BMM
Ti-GO
BBMRI-NL Ti-Pharma
Geestkracht Parelsnoer
NPO
Ti-Pharma TiFN, NGI CTMM Ti-GO Parelsnoer
PTCH, Maestro/ Aachen
ICT Valorisation etc.
Bridge (EIT-KIC) ScanBalt
BBMRI P3G
Mayo Clinic (VS) Max Planck Keulen
Allegro Etc.
JP Alzheimer/
IMI
Facilities Mouse clinic for Ageing Research,
(animal) PET, NIC etc.
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LifeLinesCohort study
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LifeLines

• Central theme
• Why some grow old healthy whereas others
  encounter disease and disability?
• Focus on
• Multi-factorial disorder (gene environment)
• Factors associated multiple disorders
• Co-morbidity
• Requires large scale study among non-diseased
  (not yet)

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LifeLines cohort studie

• 165.000 Dutch participants 3 generations
• unique combi genetic, biological sociologic
  data
• available for fundamental, empirical,
  translational, clinical research
• 30 year follow-up !!

0 y
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UCO

• University Center Health Care for the Elderly
• Care/Cure (2nd en 3rd line) complex elderly,
  i.e., multi-morbidity limited reserves
• Wellbeing vs cure
• Research
• Teaching

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Houston we have a problem

• Or do we?
• Technology IT solutions

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Challenges

• Demand for care will increase
• In absolute numbers
• Over entire range (non-health, prevention, care,
  cure)
• In complexity
• Demand will change
• Demand quality
• Demand functioning and empowerment
• Individual solutions and choices

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Opportunities

• Demand for care will increase
• In absolute numbers manual vs technology/automatio
  n
• Over entire range coordination decision aid
• In complexity idem
• Demand will change
• Demand quality systems quality control
  governance, coordination planning
• Demand functioning and empowerment IT,
  coordination decision aid
• Individual solutions and choices home care
  technology tele-medicine

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Thank you for your attention
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Netherlands vs Japan

• Similarities?
• Differences?
• Common interests now and in future?