Corroon-Sweeney E, Murphy C, Collins D R
William Stokes Unit /Age-Related Health Care, AMNCH, Tallaght, Dublin.
Ir Med J. 2009 Nov-Dec;102(10):317-20.
Older people in nursing homes constitute a vulnerable population with complex medical and mental health issues. They are predicted to make up an increasing proportion of our communities. In Ireland the majority of long term residents are in private-sector nursing homes. Their medical care needs are the responsibility of general practitioners (GPs). This study aims to identify current practice and major challenges facing GPs and highlight their contractual, educational and specialist support needs to care for this vulnerable group of patients. Survey of 476 general practitioners in the greater Dublin city area; 186 (39%) replied. 54% of respondents believed nursing home patients (NHP's) required more contact time than other practice patients. 62% regularly reviewed repeat prescriptions. Only 60% felt they had adequate geriatric medical training to look after this population. 37% had witnessed substandard care in nursing homes and of these 26% did not report it. 53% of those that did report it did so to the management of the nursing home only.
养老院中的老年人是一个弱势群体，存在复杂的医疗和心理健康问题。预计他们在我们社区中所占的比例将越来越大。在爱尔兰，大多数长期居民住在私立养老院。他们的医疗护理需求由全科医生（GP）负责。本研究旨在确定全科医生目前的做法和面临的主要挑战，并强调他们在照顾这一弱势群体时在合同、教育和专业支持方面的需求。对都柏林大都市区的476名全科医生进行了调查；186人（39%）回复。54%的受访者认为养老院患者（NHP）比其他诊所患者需要更多的接触时间。62%的人定期复查重复处方。只有60%的人觉得他们有足够的老年医学培训来照顾这一人群。37%的人目睹过养老院护理不达标，其中26%的人没有报告。报告此事的人中有53%只向养老院管理层报告。
