Michael D. Cantor, MD, JD
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Cantor M.; Quality Comes Home. Ann Intern Med. 1997;126:835. doi: 10.7326/0003-4819-126-10-199705150-00041
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Published: Ann Intern Med. 1997;126(10):835.
TO THE EDITOR:
One of the most difficult tasks we face is improving the quality of health care for the elderly. Dr. Berwick's account of his father's illness  is an unfortunately common story of poor care of an older person. Geriatric syndromes such as polypharmacy, decubiti, and delirium are treatable and avoidable, and their ubiquity demonstrates that more attention should be paid to the special needs of the elderly.
First, we need to emphasize continuity of care. One way to achieve the “integration of experience” Dr. Berwick recommends is to use multidisciplinary teams that provide services across the spectrum of community, acute, rehabilitation, and long-term care. Better continuity may have prevented the sudden cessation of therapy with medicine for Parkinson disease, which adversely affected his father.
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Print ISSN: 0003-4819 | Online ISSN: 1539-3704
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