Kaufman S R, Becker G
Institute for Health & Aging, School of Nursing, University of California, San Francisco 94143.
Gerontologist. 1991 Apr;31(2):238-45. doi: 10.1093/geront/31.2.238.
Twenty physicians were interviewed about roles, treatments, goals, and relationships with older patients, especially stroke patients. Findings from this descriptive, anthropological investigation address the problem of congruence between needs and existing services, and in doing so, recast the ongoing debate about the medicalization of long-term care. This study emphasized the nonmedical features of geriatric medicine in general and stroke care in particular. In many instances, these physicians attempt to bridge gaps between medical and emotional needs and clinical and social services with social and psychotherapeutic as well as biomedical interventions. Because we found physicians' activities with stroke patients to be so broadly construed, treatment and management of stroke may be seen as paradigmatic for the role of physicians in long-term care.
我们采访了20位医生，询问他们与老年患者，尤其是中风患者相关的角色、治疗、目标及关系。这项描述性的人类学调查结果探讨了需求与现有服务之间的一致性问题，并且在此过程中，重新引发了关于长期护理医学化的持续争论。本研究强调了老年医学的非医学特征，尤其是中风护理方面。在许多情况下，这些医生试图通过社会、心理治疗以及生物医学干预措施，弥合医疗和情感需求以及临床和社会服务之间的差距。由于我们发现医生对中风患者的活动范围如此广泛，中风的治疗和管理可被视为医生在长期护理中角色的典范。
