Donald I P, Berman P
Department of Health Care of the Elderly, City Hospital, Nottingham.
Age Ageing. 1989 Jul;18(4):253-7. doi: 10.1093/ageing/18.4.253.
An audit was performed of patients attending geriatric outpatient clinics for review during a calendar month. Patients were asked to complete a brief questionnaire and 93% of case notes were available for study. In 97 attendances, management was altered in 36, a new medical problem found in 16, and 49 patients were discharged. Forty-seven attendances followed recent discharge from hospital; 19 of these patients had no evident clinical benefit from attendance, although the majority were discharged. There may be scope for a liaison nurse to take over the follow-up of some patients to save their attending a clinic. A survey of local general practitioners suggested they would welcome this.
对某一历月期间到老年门诊接受复诊的患者进行了一次审核。要求患者填写一份简短问卷，93%的病历可供研究。在97次就诊中，36例的治疗方案发生了改变，16例发现了新的医疗问题，49例患者出院。47次就诊是在近期出院后进行的；其中19例患者就诊后未获得明显临床益处，尽管大多数患者已出院。可能有必要安排一名联络护士接管部分患者的随访工作，以避免他们到门诊就诊。对当地全科医生的一项调查表明，他们对此表示欢迎。
