Cubero González P, García de Blas González F, Gutiérrez Teira B, Barba Calderón M, Salas Dueñas R, Cid Abasolo F
Centro de Salud Felipe II (Móstoles), Fundación Hospital Alcorcón y Hospital de Móstoles, Madrid.
Aten Primaria. 2000 Jul-Aug;26(3):151-6. doi: 10.1016/s0212-6567(00)78632-x.
To evaluate the use of a portable clinical record (PCR) given to elderly patients for a one-year period. To describe the health status of these patients.
Descriptive study.
Eleven primary care teams from zones 8 and 9 of the Madrid area.
208 patients, more than 65 years old, living with their different sons and/or daughters for limited periods in an alternate fashion.
44.7% of the patients were male. Their mean age was 84.2 years. On average, they lived in 3.5 different homes, staying for 2.5 months in each one and were assigned to 3.2 physicians. The mean number of drugs taken was 3.2 (3-3.5). They suffered from a mean number of 3.5 chronic diseases. Some degree of functional dependency was noted in 64.9% of patients and cognitive impairment was noted in 26.4% of patients. 138 valid PCR were retrieved after one year (66.3%). The mean number of follow-up visits was 3.9 visits per patient. 2 or less visits were recorded in 3 patients (38%). Visit recording significantly decreased during the evaluated year.
This is an elderly population with an equivalent health status to other groups, but with a higher degree of functional dependency. The insufficient use of this PCR warrants some care about its generalization.
评估给予老年患者为期一年的便携式临床记录（PCR）的使用情况。描述这些患者的健康状况。
描述性研究。
马德里地区8区和9区的11个初级保健团队。
208名年龄超过65岁的患者，以轮流方式在不同子女家中短期居住。
44.7%的患者为男性。他们的平均年龄为84.2岁。平均而言，他们居住在3.5个不同的家中，每个家居住2.5个月，分配给3.2名医生。平均服药数量为3.2种（3 - 3.5种）。他们平均患有3.5种慢性病。64.9%的患者存在一定程度的功能依赖，26.4%的患者存在认知障碍。一年后收回138份有效的PCR（66.3%）。每位患者的平均随访次数为3.9次。3名患者（38%）的随访记录为2次或更少。在评估年度内，就诊记录显著减少。
这是一个健康状况与其他群体相当，但功能依赖程度较高的老年人群体。PCR的使用不足值得对其推广予以关注。
