Friedman Lee S, Avila Susan, Liu Elaine, Dixon Kimberly, Patch Olivia, Partida Renee, Zielke Holly, Giloth Barbara, Friedman Daniel, Moorman Lois, Meltzer Wendy
a University of Illinois, School of Public Health , Division of Environmental and Occupational Health Sciences , Chicago , Illinois , USA.
b John H. Stroger Hospital of Cook County , Internal Medicine, Geriatrics , Chicago , Illinois , USA.
J Elder Abuse Negl. 2017 Aug-Oct;29(4):270-287. doi: 10.1080/08946566.2017.1352551. Epub 2017 Aug 22.
Elder neglect is the one of the most pervasive forms of mistreatment, and often the only place outside of the individual's residence to identify and assist neglected individuals is in a medical setting. However, elder neglect cases treated in hospitals do not present with a single diagnosis or clinical sign, but rather involve a complex constellation of clinical signs. Currently, there is a lack of comprehensive guidelines on which clinical signs to use in screening tools for neglect among patients treated in hospitals. Using the DELPHI method, a group of experts developed and tested a scale to be used as a pre-screener that conceptually could be integrated into electronic health record systems so that it could identify potential neglect cases in an automated manner. By applying the scale as a pre-screener for neglect, the tool would reduce the pool of at-risk patients who would benefit from in-depth screening for elder neglect by 95%.
老年人忽视是最普遍的虐待形式之一，而且通常识别和帮助受忽视老年人的唯一场所是在医疗机构，而不是个人住所之外的其他地方。然而，在医院接受治疗的老年人忽视病例并非呈现单一诊断或临床体征，而是涉及一系列复杂的临床体征。目前，对于在医院接受治疗的患者，缺乏关于在筛查工具中使用哪些临床体征来筛查忽视情况的全面指南。一组专家采用德尔菲法开发并测试了一种量表，用作预筛查工具，从概念上讲，该量表可整合到电子健康记录系统中，以便能够以自动化方式识别潜在的忽视病例。通过将该量表用作忽视情况的预筛查工具，该工具将使受益于深入筛查老年人忽视情况的高危患者数量减少95%。
