Junius U, Fischer G, Niederstadt C
Abteilung Allgemeinmedizin im Zentrum Offentliche Gesundheitspflege, Medizinische Hochschule Hannover.
Z Gerontol. 1994 Jul-Aug;27(4):227-32.
Scientific literature reveals different levels of efficiency in geriatric screening in the primary care setting. Part I of our review deals with the development of geriatric screening up to the implementation of regular health checks in Great Britain. Studies in primary care show that through screening 1-2 previously unknown conditions per patient can be detected, with a particularly high prevalence of unknown problems in the following areas: vision and hearing, continence, mobility, cognitive function, mood, isolation, and lack of help. Further research is still required to transfer the results of screening studies into primary care, particularly in validating instruments of geriatric assessments and selecting risk groups.
科学文献揭示了基层医疗环境中老年筛查的不同效率水平。我们综述的第一部分涉及老年筛查的发展,直至英国定期健康检查的实施。基层医疗研究表明,通过筛查,每位患者可检测出1 - 2种先前未知的疾病,在以下领域未知问题的患病率尤其高:视力和听力、失禁、行动能力、认知功能、情绪、孤独感以及缺乏帮助。仍需进一步研究将筛查研究结果应用于基层医疗,特别是在验证老年评估工具和选择风险群体方面。