Innovation in geriatric multidisciplinary service model: construction and challenges based on the GOC-CGA-GIT framework
10.3760/cma.j.issn.0254-9026.2025.11.004
- VernacularTitle:老年多学科服务模式创新：基于GOC-CGA-GIT框架的构建与挑战
- Author:
Shanshan SHEN
1
;
Liyu XU
1
;
Xingkun ZENG
1
;
Xinyu CHEN
1
Author Information
1. 浙江医院老年病科，杭州 310013
- Publication Type:Journal Article
- Keywords:
Goal-Oriented Care;
Comprehensive geriatric assessment;
Geriatric interdisciplinary team (GIT);
Multimorbidity;
Healthy aging
- From:
Chinese Journal of Geriatrics
2025;44(11):1495-1499
- CountryChina
- Language:Chinese
-
Abstract:
With the acceleration of population aging, issues such as multimorbidity, functional decline, and insufficient social support among elderly patients have become increasingly prominent.The traditional single-disease-centered medical model can no longer meet their complex health needs.This paper proposes a novel model of geriatric multidisciplinary service with goal-oriented care (GOC) as the core concept, comprehensive geriatric assessment (CGA) as the transformational hub, and geriatric interdisciplinary team (GIT) as the practical vehicle.Through hierarchical GOC setting, interdisciplinary resource integration, and dynamic goal regulation, it promotes a shift in healthcare paradigm from disease-centered treatment to function maintenance and quality of life improvement.However, the widespread clinical adoption of this model still faces multiple challenges, including lagging medical insurance payment policies, insufficient integration of health data, and a shortage of interdisciplinary compound talents.Future efforts should focus on policy innovation, technological empowerment, and talent cultivation to optimize the geriatric care service system, thereby providing a scientific and sustainable practical pathway towards healthy aging.
