专科医生在养老院中的作用：荷兰的经验。
The role of the specialist physician in nursing homes: the Netherlands' experience.
作者信息
Hoek J Frank, Ribbe Miel W, Hertogh Cees M P M, van der Vleuten Cees P M
机构信息
Department of General Practice and Nursing Home Medicine, Vrije Universiteit Amsterdam, Amsterdam, The Netherlands.
出版信息
Int J Geriatr Psychiatry. 2003 Mar;18(3):244-9. doi: 10.1002/gps.816.
BACKGROUND
Dutch nursing homes employ physicians who have completed a two year specialist training programme to become a qualified nursing home physician. This paper describes the origin of the profession of nursing home medicine in the context of Dutch nursing homes.
METHOD
Review of the history and development of the need for specialist physicians in care of residents in nursing homes. Examination of the competencies required and training available for physicians and the benefits of this arrangement in improving quality of care.
RESULTS
Relevant skills and competencies of the specialist physician in nursing homes are discussed. The role and tasks, and the nursing home physician's method of working and providing care are explained, as well as the benefits and disadvantages of organizing medical care in this way.
CONCLUSIONS
The benefits of a specialist physician are considered greater than the disadvantages. Specialist training for this role is considered to be highly desirable.
背景
荷兰养老院雇佣的医生需完成一项为期两年的专科培训项目，才能成为合格的养老院医生。本文在荷兰养老院的背景下描述了养老院医学这一职业的起源。
方法
回顾养老院居民护理中对专科医生需求的历史和发展。考察医生所需的能力、可获得的培训以及这种安排在提高护理质量方面的益处。
结果
讨论了养老院专科医生的相关技能和能力。解释了其角色和任务、养老院医生的工作和提供护理的方式，以及以这种方式组织医疗护理的利弊。
结论
专科医生的益处被认为大于弊端。人们认为非常有必要针对这一角色进行专科培训。
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