Gray Leonard C, Berg Katherine, Fries Brant E, Henrard Jean-Claude, Hirdes John P, Steel Knight, Morris John N
The University of Queensland, c/- Academic Unit in Geriatric Medicine, University Department of Medicine, Princess Alexandra Hospital, Brisbane, Australia.
BMC Health Serv Res. 2009 Apr 29;9:71. doi: 10.1186/1472-6963-9-71.
Population ageing, the emergence of chronic illness, and the shift away from institutional care challenge conventional approaches to assessment systems which traditionally are problem and setting specific.
From 2002, the interRAI research collaborative undertook development of a suite of assessment tools to support assessment and care planning of persons with chronic illness, frailty, disability, or mental health problems across care settings. The suite constitutes an early example of a "third generation" assessment system.
The rationale and development strategy for the suite is described, together with a description of potential applications. To date, ten instruments comprise the suite, each comprising "core" items shared among the majority of instruments and "optional" items that are specific to particular care settings or situations.
This comprehensive suite offers the opportunity for integrated multi-domain assessment, enabling electronic clinical records, data transfer, ease of interpretation and streamlined training.
人口老龄化、慢性病的出现以及从机构护理的转变对传统评估系统的方法构成挑战，传统评估系统通常是针对问题和特定环境的。
从2002年起，interRAI研究协作组织着手开发一套评估工具，以支持对患有慢性病、身体虚弱、残疾或心理健康问题的人群在不同护理环境下进行评估和护理规划。该套件是“第三代”评估系统的早期范例。
描述了该套件的基本原理和开发策略，以及潜在应用的描述。到目前为止，该套件由十种工具组成，每种工具都包括大多数工具共享的“核心”项目和特定于特定护理环境或情况的“可选”项目。
这套综合套件为综合多领域评估提供了机会，实现了电子临床记录、数据传输、易于解释和简化培训。
