Ageism is endemic in health services, argues a senior doctor in this week's British Medical Journal.
His warning follows a study published online last month, and appearing in this week's print journal, that found substantial undertreatment of stroke and mini-stroke (transient ischaemic attack) in patients over the age of 80, despite good evidence that older patients benefit from treatment. The authors concluded that the older patients were discriminated against.
In England, decades of health service underfunding have provided an environment in which ageism has flourished, writes Professor John Young in an editorial.
Whenever a clinical stone is turned over, ageism is revealed, he says. For example, in cancer services, coronary care units, prevention of vascular disease, and in mental health services. To this list, we must now add the management of transient ischaemic attacks and minor strokes.
He believes that education is key and suggests redesigning stroke services and integrating specialist and primary care responses to the management of transient ischaemic attacks in a similar way to the approaches developed for coronary heart disease, which have led to a welcome reduction in the degree of related ageism.
Ageism will always prosper when resources are inadequate for the target population, and governments have a responsibility here, he adds. Tackling institutionalised age discrimination more broadly in health services will require national leadership, with governments and health services openly acknowledging the presence of ageism.