Gleeson L E, Jennings S, Gavin R, McConaghy D, Collins D R
Ir Med J. 2014 Sep;107(8):234-6.
The Irish Health Information and Quality Authority (HIQA) published National Quality Standards for Residential Care Settings for Older People in 2009. We reported on experiences of general practitioners (GPs) in Dublin caring for nursing home patients (NHPs) in 2006. We revisit these experiences following publication of HIQA's standards. 400 GPs received an anonymous postal survey. Of 204 respondents, 145 (71%) felt NHPs required more contact time and 124 (61%) reported more complex consultations compared to other patients. Only 131 (64%) felt adequately trained in gerontology. 143 (70%) reported access to specialist advice, but only 6 (3%) reported a change in this following HIOA standards. 65 (32%) had witnessed substandard care in a NH, of which 16 (25%) made no report, similar figures to 2006. There remains similar levels of concern regarding patient complexity, substandard care, access to specialist support and training in the care of NHPs. Many GPs expressed uncertainty regarding their role in implementing HIQA standards.
爱尔兰卫生信息与质量管理局（HIQA）于2009年发布了《老年人住宿护理机构国家质量标准》。我们在2006年报告了都柏林全科医生（GP）照料养老院患者（NHP）的经历。在HIQA标准发布后，我们再次审视这些经历。400名全科医生收到了一份匿名邮寄调查问卷。在204名受访者中，145名（71%）认为养老院患者需要更多的接触时间，124名（61%）报告称与其他患者相比，对养老院患者的诊疗更为复杂。只有131名（64%）觉得自己在老年医学方面接受过充分培训。143名（70%）报告称能够获得专科建议，但只有6名（3%）报告称在HIQA标准发布后这方面有所改变。65名（32%）曾目睹养老院存在不合格护理情况，其中16名（25%）未作报告，这一数字与2006年相似。对于养老院患者护理中的患者复杂性、不合格护理、获得专科支持以及培训等方面，人们的担忧程度仍然相近。许多全科医生对自己在实施HIQA标准中的角色表示不确定。
