Golden Adam G, Gammonley Denise, Hunt Debra, Olsen Edwin, Issenberg S Barry
Department of Internal Medicine, University of Central Florida, College of Medicine , 5201 Raymond Street, Orlando, FL , USA .
J Interprof Care. 2014 Jan;28(1):40-4. doi: 10.3109/13561820.2013.830595. Epub 2013 Sep 6.
Healthcare reform has led to an increased emphasis on interprofessional healthcare models for older adults. Unfortunately, best practice education that focuses on the interprofessional healthcare of the elderly does not yet exist. As a prelude to implementing interprofessional geriatric educational initiatives, we developed a survey to identify potential attitudinal differences among graduate healthcare students regarding personal aging, caring for older adults, healthcare reform and the role of the physician on the interprofessional team. We surveyed third-year medical students, nurse practitioner students and graduate social work students. Attitudes regarding personal aging were similar among the professions. Nurse practitioner and social work students had higher positive attitudes toward the care of older adults. Concerns about the impact of healthcare reform on quality and healthcare costs differed significantly. There was also a significant difference in attitudes concerning the role of the physician as the leader of the interprofessional team. These results provide insights into gerontologic-focused attitudes of graduate healthcare professional students. In an era of dramatic healthcare change, these findings will assist educators in the development and implementation of educational programs to prepare graduate students for the interprofessional care of elderly patients.
医疗保健改革使得人们更加重视针对老年人的跨专业医疗保健模式。不幸的是，目前尚不存在专注于老年人跨专业医疗保健的最佳实践教育。作为实施跨专业老年教育倡议的前奏，我们开展了一项调查，以确定研究生医疗保健专业学生在个人衰老、照顾老年人、医疗保健改革以及医生在跨专业团队中的角色等方面潜在的态度差异。我们对三年级医学生、执业护士学生和研究生社会工作学生进行了调查。各专业学生对个人衰老的态度相似。执业护士和社会工作专业的学生对照顾老年人的态度更为积极。对医疗保健改革对质量和医疗成本影响的担忧存在显著差异。关于医生作为跨专业团队领导者的角色，态度也存在显著差异。这些结果为研究生医疗保健专业学生对老年医学的态度提供了见解。在医疗保健发生巨大变革的时代，这些发现将有助于教育工作者制定和实施教育计划，使研究生为老年患者的跨专业护理做好准备。
