The Center of Gerontology and Geriatrics, West China Hospital, Sichuan University, Sichuan, China.
J Am Med Dir Assoc. 2013 Oct;14(10):775.e1-3. doi: 10.1016/j.jamda.2013.05.016. Epub 2013 Jul 5.
To investigate how health care providers in Southwest China conducted comprehensive geriatric assessment (CGA) in their clinical practices.
One hundred twenty-two medical care providers who attended the 2012 Sichuan Association of Geriatrics (SAG) Continuing Medical Education participated in this cross-sectional survey. The instrument was divided into 2 parts, including respondents' demographics and information on their application of CGA.
Of the total 122 participants, 120 (73 physicians and 47 nurses) responded. Three-quarters of the respondents reported that they evaluated at least 1 item of CGA separately. Among them, 30/32 respondents from university-affiliated hospitals reported having performed CGA compared with 18/22 from community hospitals or retirement/nursing facilities and 42/66 from provincial or county hospitals (P < .001), respectively. Respondents who attended the SAG Continuing Medical Education were more likely to complete the CGA (86.5% vs 66.2%, P = .011) and the integrated CGA (48.9% vs 20.0%, P < .001). Physicians were more likely to assess the instrument daily living capacity and communication capacity. Nurses were more focused on the basic activities of daily living, economic support, and caregiver.
These findings showed that the application of CAG in the mainland of China is not adequate. The training program related to CGA held by the SAG was helpful in improving the proportion of effective use of CGA. More efforts should be made in the future to build the CGA work team.
调查中国西南地区的医疗保健提供者在临床实践中如何进行综合老年评估（CGA）。
参加 2012 年四川老年医学协会（SAG）继续教育的 122 名医疗保健提供者参与了这项横断面调查。该工具分为两部分，包括受访者的人口统计学信息和他们应用 CGA 的信息。
在总共 122 名参与者中，有 120 名（73 名医生和 47 名护士）做出了回应。四分之三的受访者报告说，他们分别评估了至少 1 项 CGA。其中，30/32 名来自大学附属医院的受访者报告进行了 CGA，而 18/22 名来自社区医院或退休/护理机构，42/66 名来自省级或县级医院的受访者（P<.001）。参加 SAG 继续教育的受访者更有可能完成 CGA（86.5%比 66.2%，P=.011）和综合 CGA（48.9%比 20.0%，P<.001）。医生更有可能评估日常生活能力和沟通能力的工具。护士更关注日常生活的基本活动、经济支持和护理人员。
这些发现表明，中国大陆 CAG 的应用不足。SAG 举办的与 CGA 相关的培训计划有助于提高有效使用 CGA 的比例。未来应做出更多努力来建立 CGA 工作组。
