Bonney Andrew, Jones Sandra C, Phillipson Lyn, Iverson Don
Graduate School of Medicine, University of Wollongong, New South Wales, Australia.
Aust Fam Physician. 2010 Jun;39(6):419-24.
Previous research indicates that older patients may be less willing to consult general practice registrars (GPRs), reducing training opportunities in chronic/complex care. This survey explores older patients' attitudes in order to inform models of interaction that would be acceptable to patients.
Ten training general practices distributed questionnaires for self completion to 50 patients aged 60 years and over. Chi-square, Spearman's rho and logistic regression were used for analysis.
The response rate was 47%. Ninety-six percent wanted ongoing contact with their general practitioner if they saw a GPR. Twenty-four percent were comfortable with GPR chronic/complex care, increasing to 73% when there was contact with their usual GP during the consultation.
This study quantifies a widespread reluctance among older patients to GPRs managing chronic/complex conditions, which could be significantly improved by maintaining a relational link with their regular GP. These results give guidance for training practices and warrant further investigation.
先前的研究表明，老年患者可能不太愿意咨询全科实习医生（GPR），这减少了慢性/复杂护理方面的培训机会。本次调查旨在探究老年患者的态度，以便为患者能够接受的互动模式提供参考。
十家培训全科诊所将问卷分发给50名60岁及以上的患者，让他们自行填写。采用卡方检验、斯皮尔曼等级相关系数和逻辑回归进行分析。
回复率为47%。如果他们看的是GPR，96%的人希望能与他们的全科医生保持持续联系。24%的人对GPR进行慢性/复杂护理感到放心，当在会诊期间与他们的常规全科医生有联系时，这一比例增至73%。
本研究量化了老年患者普遍不愿让GPR管理慢性/复杂病情的情况，而通过与他们的常规全科医生保持关系联系，这种情况可能会得到显著改善。这些结果为培训诊所提供了指导，值得进一步研究。
