Schumacher John G, Deimling Gary T, Meldon Stephen, Woolard Bert
Department of Sociology and Anthropology, University of Maryland, Baltimore County, Baltimore, Maryland 21250, USA.
J Emerg Med. 2006 May;30(4):455-60. doi: 10.1016/j.jemermed.2005.07.008.
The aging of the U.S population will have impact on hospital Emergency Departments (ED) nationwide. To date, ED research has focused on utilization rates and acuity without considering issues of burden and stress that emergency physicians may experience caring for the increasing numbers of older adult patients. Results of a survey of Emergency Medicine residents and their attendings indicates that physicians overestimate the percentage of their patient load aged 65 years and older, have less confidence managing older patients, and desire more geriatric Emergency Medicine training. Based on regression analysis, several factors predict higher levels of emergency physician burden including training level, experiences, patient census estimate gaps, and relational issues with patients. Findings suggest the need to systematically address how the profession of Emergency Medicine is responding to its growing older adult patient population.
美国人口老龄化将对全国医院的急诊科产生影响。迄今为止，急诊科研究主要集中在利用率和 acuity 方面，而没有考虑到急诊医生在照料越来越多老年患者时可能面临的负担和压力问题。一项针对急诊医学住院医师及其主治医生的调查结果表明，医生高估了65岁及以上患者在其患者总量中所占的比例，对管理老年患者缺乏信心，并且希望获得更多老年急诊医学培训。基于回归分析，有几个因素预示着急诊医生负担水平较高，包括培训水平、经验、患者普查估计差距以及与患者的关系问题。研究结果表明，有必要系统地探讨急诊医学专业如何应对不断增加的老年患者群体。
