THE SITUATION OF ELDERS IN CHILE

Chile is experiencing a demographic transition and the causes of death and diseases of elders are similar to those of developed countries. H owever, these facts do not reflect the real problems that elderly peop le must face in this country, since they frequently suffer of not well diagnosed or assessed chronic diseases or functional limitations, tha t render them dependent or prostrated. If Chile wants to improve the p hysical and mental well being of elders, a global policy towards them must be developed al-id the financing of health services must be assur ed. In March 1996, a National Policy for Elderly People, aiming to imp rove the quality of life of these individuals, was approved by the gov ernment. We must successfully prevent and retard functional impairment and divulge the integral geriatric focus, encouraging global assessme nt, preventing disabilities and protecting functional independence. We must develop specialized Geriatric services in general hospitals, day care centers and rehabilitation units. We must teach the general prin ciples of geriatric practise to health teams. Chile has a few trained specialists in geriatric medicine that must train other professionals. Thus, Medical Schools should expand research and post graduate traini ng programs in geriatrics.