Williams M E, Connolly N K
Program on Aging, School of Medicine, University of North Carolina, Chapel Hill 27514.
J Am Geriatr Soc. 1990 Nov;38(11):1230-4. doi: 10.1111/j.1532-5415.1990.tb01504.x.
We recently surveyed a random sample of 500 physicians in family practice, general practice, and internal medicine in North Carolina, to discover their most challenging geriatric concerns. Using a three-stage survey technique, respondents were asked to answer two open-ended questions about the most challenging geriatric problems they face and what specific geriatric content areas would attract their participation in an educational program. They were then asked to rank 34 topics on which they would like more information. A total of 242 responses were received for a 55% response rate (63 of the 500 were undeliverable). Responses indicated that physicians are more concerned with management than diagnosis and revealed considerable evidence of empathy and concern. The top three topics had to do with the management of dementia, multiple problems, and depression. Approximately 25% of physicians consider problems of financing health care as among the most challenging problems.
我们最近对北卡罗来纳州从事家庭医疗、普通医疗和内科的500名医生进行了随机抽样调查，以了解他们在老年医学方面最具挑战性的问题。采用三阶段调查技术，要求受访者回答两个开放式问题，即他们面临的最具挑战性的老年医学问题是什么，以及哪些特定的老年医学内容领域会吸引他们参加教育项目。然后要求他们对34个希望获取更多信息的主题进行排序。共收到242份回复，回复率为55%（500份中有63份无法投递）。回复表明，医生更关注管理而非诊断，并有大量同理心和关切的证据。排名前三的主题与痴呆症管理、多种问题和抑郁症有关。约25%的医生认为医疗保健融资问题是最具挑战性的问题之一。
