Department of Psychiatry, Yale University, New Haven, Connecticut, USA.
J Am Geriatr Soc. 2010 Nov;58(11):2191-6. doi: 10.1111/j.1532-5415.2010.03139.x. Epub 2010 Oct 26.
Current cultural competency models in geriatrics represent positive developments but may focus disproportionately on group-level information without attending to intracultural, individual variations. This article reviews these limitations and introduces the cultural formulation from psychiatry as a more-thorough assessment strategy. By focusing on the patient's relationships with cultural identity, illness explanations, social networks, and the physician, a cultural formulation designed for geriatrics may help clinicians plan treatment and follow-up in a more-comprehensive and -patient-centered way. Detailed case studies illustrate its potential applications within geriatrics.
当前老年医学中的文化能力模型代表了积极的发展，但可能过于关注群体层面的信息，而忽略了文化内部的个体差异。本文回顾了这些局限性，并介绍了精神病学中的文化构念，将其作为一种更全面的评估策略。通过关注患者与文化认同、疾病解释、社交网络和医生的关系，为老年医学设计的文化构念可以帮助临床医生更全面、以患者为中心地计划治疗和随访。详细的案例研究说明了其在老年医学中的潜在应用。
