{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,8,27]],"date-time":"2026-08-27T09:23:33Z","timestamp":1787822613865,"version":"build-2784847793"},"reference-count":32,"publisher":"Wiley","issue":"8","license":[{"start":{"date-parts":[[2026,5,12]],"date-time":"2026-05-12T00:00:00Z","timestamp":1778544000000},"content-version":"vor","delay-in-days":0,"URL":"http:\/\/creativecommons.org\/licenses\/by-nc-nd\/4.0\/"},{"start":{"date-parts":[[2026,5,12]],"date-time":"2026-05-12T00:00:00Z","timestamp":1778544000000},"content-version":"tdm","delay-in-days":0,"URL":"http:\/\/doi.wiley.com\/10.1002\/tdm_license_1.1"}],"content-domain":{"domain":["agsjournals.onlinelibrary.wiley.com"],"crossmark-restriction":true},"short-container-title":["J American Geriatrics Society"],"published-print":{"date-parts":[[2026,8]]},"abstract":"<jats:title>ABSTRACT<\/jats:title>\n                  <jats:p>Health care systems differ worldwide, allowing learning from each other and improving care for older adults with similar clinical profiles. In the early 1990s, Dr. Howard Bergman and Dr. Mark Clarfield from Canada and Dr. Joseph Ouslander from the United States described the approach to care for the same patient in their respective health care systems. Yet, challenges identified then, such as limited access to geriatric medicine care, as well as multimorbidity and system constraints, remain relevant to the care of older adults today. This article revisits the original exercise summarizing the joint symposium of the America, Canadian, and European geriatric medicine societies, held at the 2025 European Geriatric Medicine Society (EuGMS) Congress in Iceland. Using the case of an 82\u2010year\u2010old woman with multimorbidity, frailty, and social vulnerability, experts examined how three systems would manage key aspects of care for this patient: Delirium prevention (U.S.), falls and rehabilitation (Canada), and medication optimization (Europe). Each presentation situated clinical priorities within broader systemic realities, including workforce shortages, care fragmentation, and policy challenges. Emerging models, such as Age\u2010Friendly Health Systems and the Hospital Elder Life Program in the U.S., Acute Care for the Elderly units and Geriatric Rehabilitation Units in Canada and structured medication review initiatives in Europe, illustrate innovations and persistent gaps. By contrasting clinical strategies and organizational structures, this analysis identifies transferable best practices and policy levers to improve geriatric medicine care globally. Recommendations emphasize harmonizing geriatric expertise, embedding evidence\u2010based interventions, and fostering cross\u2010system learning to optimize outcomes for older adults.<\/jats:p>","DOI":"10.1111\/jgs.70478","type":"journal-article","created":{"date-parts":[[2026,5,12]],"date-time":"2026-05-12T13:37:23Z","timestamp":1778593043000},"page":"2181-2188","update-policy":"https:\/\/doi.org\/10.1002\/crossmark_policy","source":"Crossref","is-referenced-by-count":0,"title":["Same Patients, Different Health Care Systems\u2014Revisited. Geriatric Care Models in the U.S., Canada, and Europe"],"prefix":"10.1111","volume":"74","author":[{"ORCID":"https:\/\/orcid.org\/0000-0002-6477-6209","authenticated-orcid":false,"given":"Nathalie","family":"van der Velde","sequence":"first","affiliation":[{"name":"Department of Internal Medicine Section of Geriatric Medicine, Amsterdam UMC Location University of Amsterdam  Amsterdam the Netherlands"},{"name":"Amsterdam Public Health Research Institute  Amsterdam the Netherlands"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0002-5438-5087","authenticated-orcid":false,"given":"Mark A.","family":"Supiano","sequence":"additional","affiliation":[{"name":"Professor of Internal Medicine; Spencer Fox Eccles School of Medicine Geriatrics Division and University of Utah Center on Aging  Salt Lake City Utah USA"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0002-5796-2361","authenticated-orcid":false,"given":"Manuel","family":"Montero\u2010Odasso","sequence":"additional","affiliation":[{"name":"Schulich School of Medicine &amp; Dentistry\u2014Departments of Medicine Western University  London Canada"},{"name":"Epidemiology and Biostatistics  London Ontario Canada"},{"name":"Parkwood Institute Gait and Brain Lab  London Ontario Canada"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0002-5973-4151","authenticated-orcid":false,"given":"Paula A.","family":"Rochon","sequence":"additional","affiliation":[{"name":"Women's Age Lab and Women's College Research Institute, Women's College Hospital  Toronto Ontario Canada"},{"name":"Ices  Toronto Ontario Canada"},{"name":"Division of Geriatric Medicine, Department of Medicine University of Toronto  Toronto Ontario Canada"},{"name":"Institute of Health Policy, Management &amp; Evaluation, Dalla Lana School of Public Health, University of Toronto  Toronto Ontario Canada"},{"name":"Weston and O'born Centre for Mature Women's Health, Sinai Health System, Barry J. 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