Friedman Susan M, Gillespie Suzanne M, Medina-Walpole Annette M, Caprio Thomas V, Karuza Jurgis, McCann Robert M
a Division of Geriatrics/Aging, Department of Medicine , University of Rochester School of Medicine and Dentistry , Rochester , New York , USA.
Gerontol Geriatr Educ. 2013;34(4):409-20. doi: 10.1080/02701960.2013.819802. Epub 2013 Aug 25.
The objective of this study was to identify differences between geriatricians and hospitalists in caring for hospitalized older adults, so as to inform faculty development programs that have the goal of improving older patient care. Eleven hospitalists and 13 geriatricians were surveyed regarding knowledge, confidence, and practice patterns in caring for hospitalized older adults, targeting areas previously defined as central to taking care of older hospitalized patients. Overall, geriatricians had more confidence and more knowledge in caring for older hospitalized adults. The areas in which hospitalists expressed the least confidence were in caring for patients with dementia, self-care issues, and care planning. Geriatricians reported more routine medication reviews, functional and cognitive assessments, and fall evaluations. Geriatricians and hospitalists differ in their approach to older adults. Where these differences reflect lack of knowledge or experience, they set the stage for developing curricula to help narrow these gaps.
本研究的目的是确定老年病医生和住院医生在照顾住院老年人方面的差异，以便为旨在改善老年患者护理的师资培训项目提供参考。针对照顾住院老年人的知识、信心和实践模式，对11名住院医生和13名老年病医生进行了调查，目标领域先前被定义为照顾老年住院患者的核心领域。总体而言，老年病医生在照顾老年住院患者方面更有信心和更多知识。住院医生表现出最缺乏信心的领域是照顾痴呆患者、自我护理问题和护理计划。老年病医生报告进行了更多的常规药物审查、功能和认知评估以及跌倒评估。老年病医生和住院医生在对待老年人的方式上存在差异。当这些差异反映出知识或经验的缺乏时，它们为制定课程以帮助缩小这些差距奠定了基础。
