Van Dam van Isselt E F, Schols J M G A
Tijdschr Gerontol Geriatr. 2007 Oct;38(5):255-61.
To describe the current use of the consultation function of nursing home physicians. Setting Descriptive inventory study.
A questionnaire (with 16 questions regarding the consultation function of nursing home physicians) was sent to the head of the medical staff of all nursing homes in The Netherlands (n=323).
The response to the questionnaire was 78%. The use of the consultation function appeared to be very low. Only 20% of respondents answered that their medical staff was involved in weekly or monthly consultations upon request of general practitioners. Respondents mentioned unfamiliarity with the expertise of nursing home physicians as the main reason for this low consultation frequency. A positive relationship was found between the consultation frequency and some organizational parameters.
Nursing home physicians are not often consulted by general practitioners. Compared to 7 years ago even a decline in the consultation frequency has occurred. Paradoxically, the current trend in chronic care to offer care and treatment as long as possible in the home situation of patients, leads to a situation in which Dutch nursing homes offer more and more complementary nursing and medical support to community care for chronically ill and disabled patients, still living at home. This trend stresses also the importance of more collaboration between general practitioners and nursing home physicians. Further research concerning the added value of this collaboration is necessary
描述养老院医生会诊功能的当前使用情况。设置描述性清单研究。
向荷兰所有养老院的医务人员负责人发送了一份问卷（包含16个关于养老院医生会诊功能的问题）（n = 323）。
问卷回复率为78%。会诊功能的使用率似乎非常低。只有20%的受访者回答说，他们的医务人员应全科医生的要求参与每周或每月的会诊。受访者提到，不熟悉养老院医生的专业知识是会诊频率低的主要原因。会诊频率与一些组织参数之间存在正相关关系。
全科医生不常向养老院医生咨询。与7年前相比，会诊频率甚至有所下降。矛盾的是，当前慢性病护理的趋势是尽可能在患者家中提供护理和治疗，这导致荷兰养老院为仍居住在家中的慢性病和残疾患者的社区护理提供越来越多的补充护理和医疗支持的情况。这种趋势也强调了全科医生和养老院医生之间加强合作的重要性。有必要对这种合作的附加值进行进一步研究。
