Harrison S, Martin E, Rous S, Wilson S
J R Soc Med. 1985 Jul;78(7):557-61. doi: 10.1177/014107688507800708.
Thirty-five percent of patients over 70 years old who received an unsolicited visit by a health visitor were found to have previously unidentified needs. In all, 71% of the 110 patients surveyed were found to have problems involving mobility, communication or caring for themselves. Most of their needs were social ones. It was concluded that unsolicited visiting by health visitors was efficient use of time by members of the primary health care team. Changes in practice administration are suggested to improve access to medical care for elderly patients.
在接受健康访视员主动上门访视的70岁以上患者中,35%被发现有此前未被识别的需求。在接受调查的110名患者中,总计71%被发现存在行动、沟通或自我照料方面的问题。他们的大多数需求是社交方面的。得出的结论是,健康访视员的主动上门访视是初级卫生保健团队成员对时间的有效利用。建议改变实践管理方式,以改善老年患者获得医疗服务的机会。