Gambert S R, Duthie E H, Wiltzius F
J Chronic Dis. 1982;35(1):65-8. doi: 10.1016/0021-9681(82)90031-5.
This study evaluates the benefit of the annual medical examination in an academically affiliated Veterans Administration Nursing Home Care Unit. Ninety-six male residents with a mean age of 74.4 yr who were all receiving ongoing medical care underwent annual evaluations including a history, physical examination, chest X-ray and appropriate laboratory testing. All residents have had continual updating of their problem lists and are part of an ongoing geriatric educational program. Findings on the annual evaluation were compared to the most recently formulated problem list. Our evaluation revealed a total of only eight previously unknown abnormalities. Data suggest that ongoing health care as part of an academic geriatric program may obviate the need for annual evaluations.
本研究评估了在一所隶属于学术机构的退伍军人事务部疗养院护理单元进行年度体检的益处。96名平均年龄为74.4岁且均在接受持续医疗护理的男性居民接受了年度评估，包括病史采集、体格检查、胸部X光检查及适当的实验室检测。所有居民的问题清单都在不断更新，并且都是一个正在进行的老年医学教育项目的一部分。将年度评估结果与最新制定的问题清单进行了比较。我们的评估发现总共只有8项此前未知的异常情况。数据表明，作为学术性老年医学项目一部分的持续医疗护理可能无需进行年度评估。
