Start low, go slow, but look far: the case of geriatric medicine in Balkan countries
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SPECIAL ARTICLE
Start low, go slow, but look far: the case of geriatric medicine in Balkan countries Marina Kotsani1 · John Ellul2 · Gülistan Bahat3 · Nenad Bogdanovic4,5 · Genc Burazeri6 · Predrag Erceg7 · Biljana Petreska‑Zovic8 · Gabriel Ioan Prada9,10 · Emmanouil Smyrnakis11 · Gregor Veninšek12 · Chrysanthos Zamboulis13 · Finbarr C. Martin14 · Mirko Petrovic15 · Athanase Benetos1 Received: 27 April 2020 / Accepted: 13 June 2020 © European Geriatric Medicine Society 2020
Key summary points Aim To briefly present the current situation regarding Geriatric Medicine in Balkan countries and discuss possible perspectives of development by exchange and interaction with countries with more developed Geriatric Medicine. Findings Balkan countries seem to encounter similar difficulties and share common challenges regarding under- and postgraduate education in geriatric medicine, accessibility to comprehensive geriatric assessment and response to special needs of older people in various clinical settings. Proposed solutions need to be pragmatic, effective, applicable in harmony with available services and adjusted to each country’s special context. Message InterEuropean networking, cooperation among countries under the auspices of EuGMS, and suitable application of experience from countries with developed Geriatrics, could contribute to the development of Geriatric Medicine in Balkan countries as well. Abstract Purpose To present an insight of the situation of geriatric medicine in Balkan countries, as it was presented in the context of the 2nd pre-congress seminar of the 16th European Geriatric Medicine Society (EuGMS) Congress Athens 2021. Methods Representatives from 8 Balkan countries (Albania, Croatia, Greece, Republic of North Macedonia, Romania, Serbia, Slovenia, Turkey) answered 3 questions to reflect the state of geriatric medicine in their country: education on geriatrics; systems/methods for assessment of functional status and frailty; pre-operative risk assessment. An open discussion followed.
* Marina Kotsani [email protected] 1
Université de Lorraine, CHRU-Nancy, Pôle « Maladies du Vieillissement, Gérontologie et Soins Palliatifs », 54000 Nancy, France
2
Department of Neurology, University of Patras, Patras, Greece
3
Division of Geriatrics, Department of Internal Medicine, Istanbul Medical School, Istanbul University, Istanbul, Turkey
4
Senior Consultant in Geriatric, Croatian Ministry of Health, Zagreb, Croatia
5
Theme Aging, Karolinska University Hospital and Karolinska Institutet, Stockholm, Sweden
6
Faculty of Medicine, University of Medicine, Tirana, Albania
7
Faculty of Medicine, Department of Geriatrics, “Zvezdara” University Hospital, University of Belgrade, Belgrade, Serbia
8
Department of Geriatric, PHI Specialized Hospital for Geriatric and Palliative Medicine 13 November, Skopje, Republic of North Macedonia
9
University of Medicine and Pharmacy “Carol Davila”, Bucharest, Romania
10
National Institute of Gerontology and Geriatrics “Ana Aslan”,
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