Packham C J
J R Coll Gen Pract. 1989 Aug;39(325):335-7.
Fifty patients from one practice who were resident in private nursing homes or residential local authority homes for the elderly (part 3) have been studied. The main carers in the residential homes completed a questionnaire on the care requirements, medical problems and unmet needs of each patient. This information was compared with that available to the general practitioners from the patients' medical notes so that areas of poor communication between the doctor and the main career could be identified. The 11 male patients had a mean age of 82 years and the 39 female patients a mean age of 83 years. Many of the patients had complicated medical problems and were highly dependent on nursing care. Carers were unaware of 34 medical problems among the patients and general practitioners were unaware of care needs in eight patients. Improved communication between general practitioners and the carers in residential homes may benefit patients but proper regard must be given to the privacy and confidentiality of medical information in this setting.
对来自一家诊所的50名居住在私立养老院或地方政府老年人福利院（第3部分）的患者进行了研究。福利院的主要护理人员填写了一份关于每位患者护理需求、医疗问题和未满足需求的问卷。将这些信息与全科医生从患者病历中获取的信息进行比较，以便确定医生与主要护理人员之间沟通不畅的领域。11名男性患者的平均年龄为82岁，39名女性患者的平均年龄为83岁。许多患者有复杂的医疗问题，高度依赖护理。护理人员未意识到患者存在34个医疗问题，全科医生未意识到8名患者的护理需求。改善全科医生与福利院护理人员之间的沟通可能会使患者受益，但在这种情况下必须适当考虑医疗信息的隐私和保密性。
