Richter R C, Buck E L
Department of Family Medicine and Comprehensive Care, Louisiana State University School of Medicine, Shreveport 71130.
Fam Med. 1990 Sep-Oct;22(5):388-91.
The population of elderly patients is steadily growing. Because physician attitudes toward caring for elderly patients are often negative, it is important to identify aspects of training that lead to favorable attitudes toward the practice of geriatrics. This study investigated the relationships among past casual experiences, educational experiences, level of training, faculty attitudes, and current resident attitudes. All Louisiana family practice residents (72) and program faculty members (35) were surveyed, with response rates of 69% and 86%, respectively. Residents generally held positive attitudes toward the elderly. Variables associated with positive resident attitudes were the amount of didactic training and faculty attitudes. No differences were found among the attitudes of residents at different levels of training. These findings highlight the importance of cognitive training and role modeling in geriatrics. Educational settings in which training occurs--classrooms, ambulatory care facilities, hospitals, and nursing homes--deserve careful consideration.
老年患者的数量正在稳步增长。由于医生对照顾老年患者的态度往往是消极的，因此确定能培养出对老年医学实践持积极态度的培训方面非常重要。本研究调查了过去的偶然经历、教育经历、培训水平、教员态度和当前住院医生态度之间的关系。对路易斯安那州所有的家庭医学住院医生（72名）和项目教员（35名）进行了调查，回复率分别为69%和86%。住院医生总体上对老年人持积极态度。与住院医生积极态度相关的变量是理论培训量和教员态度。不同培训水平的住院医生在态度上没有差异。这些发现凸显了老年医学认知培训和榜样作用的重要性。进行培训的教育环境——教室、门诊护理设施、医院和疗养院——值得仔细考虑。
