Medical Research Council Unit for Lifelong Health and Ageing, University College London, London, UK.
Department of Health Sciences, University of Leicester, Leicester, UK.
Lancet Healthy Longev. 2023 Jul;4(7):e354-e356. doi: 10.1016/S2666-7568(23)00084-3. Epub 2023 Jun 16.
Comprehensive geriatric assessment is the core toolkit of geriatric medicine. Awareness of and engagement in comprehensive geriatric assessment are crucial competences for all professionals caring for older people living with frailty. The fundamental tenet of comprehensive geriatric assessment is person centredness, which means orienting problem evaluation and intervention plans around an individual's specific biopsychosocial situation to maximise their function and participation. Person-centred outcomes are frequently neglected from measurements of health-care delivery, service improvement, and research. Instead, systems tend to measure outcomes of the health-care service (ie, resource use) or a person's destination following a health-care process. The absence of person-centred outcome measures risks the delivery of health care that seeks to achieve, and is benchmarked against, outcomes that are not best for the patient. We must, therefore, ensure that the outcomes that matter to older people are being measured.
全面老年评估是老年医学的核心工具。了解并参与全面老年评估是所有照顾体弱老年人的专业人员的关键能力。全面老年评估的基本原则是以患者为中心，这意味着根据个体的特定生物心理社会情况来评估问题和制定干预计划，以最大限度地提高其功能和参与度。从医疗保健提供、服务改进和研究的测量来看，以患者为中心的结果经常被忽视。相反，系统往往衡量医疗服务的结果（即资源使用）或一个人在医疗过程后的去向。缺乏以患者为中心的结果衡量标准可能会导致医疗保健服务的提供，这些服务旨在实现和以不符合患者最佳利益的结果为基准。因此，我们必须确保衡量对老年人重要的结果。
