Chen Pei, Steinman Michael A
Division of Geriatrics, Department of Medicine, University of California, San Francisco, 3333 California St, Suite 380, San Francisco, CA 94143 USA.
Division of Geriatrics, Department of Medicine, University of California, San Francisco, 3333 California St, Suite 380, San Francisco, CA 94143 USA ; San Francisco VA Medical Center, 4150 Clement St, San Francisco, CA 94121 USA.
Isr J Health Policy Res. 2016 Oct 1;5:46. doi: 10.1186/s13584-016-0106-3. eCollection 2016.
Older adults are at high risk of developing multimorbidity, and the high levels of clinical and psychosocial complexity in this population pose special challenges for primary care physicians (PCPs). As a way to improve the care for the older adults, a number of health systems have developed programs to provide comprehensive geriatric assessment (CGA), which generally refers to an intensive interprofessional evaluation and management of geriatric syndromes with the goals of maximizing health in aging. Sternberg and Bentur examined the impact of CGA as perceived by PCPs, the PCPs attitude toward CGA, and their satisfaction with CGA. In this commentary, we seek to provide additional context to the current state of outpatient consultative CGA and how it relates to the findings in the study by Sternberg and Bentur. The knowledge gained from this study begs for future investigations, especially in the areas of PCPs' understanding of outpatient consultative CGA, the perceived benefit in health outcomes and actual health outcomes, perceived needs in geriatric consultation, preference in management of complex geriatric syndromes, and interests in continuing education in geriatrics. Insight into these factors could allow for improvement of the current outpatient consultative CGA model and allow for adaption of the model to local needs.
老年人患多种疾病的风险很高，而且该人群临床和心理社会方面的高度复杂性给初级保健医生（PCP）带来了特殊挑战。作为改善老年人护理的一种方式，一些卫生系统已制定计划以提供全面的老年医学评估（CGA），这通常是指对老年综合征进行深入的多专业评估和管理，目标是使老年人的健康最大化。斯特恩伯格和本图尔研究了初级保健医生对全面老年医学评估的看法、他们对全面老年医学评估的态度以及他们对全面老年医学评估的满意度。在这篇评论中，我们试图为门诊咨询性全面老年医学评估的现状及其与斯特恩伯格和本图尔的研究结果之间的关系提供更多背景信息。从这项研究中获得的知识需要未来进一步的调查，特别是在初级保健医生对门诊咨询性全面老年医学评估的理解、对健康结果的感知益处和实际健康结果、老年医学咨询的感知需求、对复杂老年综合征管理的偏好以及老年医学继续教育兴趣等方面。深入了解这些因素可以改进当前的门诊咨询性全面老年医学评估模式，并使该模式能够适应当地需求。
