[Accelerating the transformation from anesthesia clinic to comprehensive anesthesia and multi-disciplinary evaluation, consultation, pre-rehabilitation and follow-up center in outpatient under aged society].

The acceleration of aging process in China bring challenges for the anesthesia management of elderly patients. The co-morbidity, decreased function and high risk of postoperative severe complications and mortality are the main reasons of resultant lower anesthesia and surgery rate,higher medical expenses for elderly patients. The transformation from anesthesia clinic service to comprehensive anesthesia and multi-disciplinary evaluation, consultation,pre-rehabilitation and follow-up center in outpatient is a new medical mode to resolve the problem, which depends on the collaboration among hospital, disciplines and government to undertake the task.中国老龄化进程加速，给围手术期老年患者的麻醉管理带来挑战。老年患者多病共存、功能衰退以及术后高发的严重并发症和死亡率是导致老年患者低麻醉率和低手术率、医疗花费高的主要因素。从当前麻醉门诊向门诊一站式麻醉与多学科评估、诊疗、预康复与随访中心转变是解决这一问题的新的医疗模式，需要医院、学科以及政府共同努力才能实现。.