Fields S D
Section of geriatric medicine, St. Vincent's Hospital, New York City.
Geriatrics. 1991 Aug;46(8):26-8,34-5.
Although the medical history in the average adult can approach a diagnostic yield of 90%, its utility in geriatric patients is often much lower. Potential barriers to communication with the elderly include cognitive, behavioral, and physical problems. This article suggests techniques the primary care physician can use to overcome these obstacles and get the maximum diagnostic information from the patient history.
尽管普通成年人的病史诊断准确率可达90%,但其在老年患者中的效用往往要低得多。与老年人沟通的潜在障碍包括认知、行为和身体问题。本文介绍了基层医疗医生可用来克服这些障碍并从患者病史中获取最大诊断信息的技巧。