Peet S M, Castleden C M, Potter J F, Jagger C
University Department of Medicine for the Elderly, Leicester General Hospital.
Age Ageing. 1994 Jan;23(1):65-8. doi: 10.1093/ageing/23.1.65.
Medical screening of applicants to residential homes for older people has been shown to redirect inappropriate applications, although other outcomes have not been reported. This study assessed 117 applicants, of whom 63% were medically examined and offered medically directed interventions if indicated. All applicants were then reassessed at 6 and 12 weeks. No significant differences in survival, or changes in cognitive score, disability, incontinence or self-reported health were found between intervention and control groups. Intervention did redirect some applicants to more appropriate care and resulted in significantly greater improvements in morale. These results raised the question of whether it is appropriate for medical assessment to be used primarily to enforce admission criteria in the absence of other significant health benefits. However, the greater improvements in morale of the intervention group did indicate some benefit from the medical examination.
对申请入住养老院的老年人进行医学筛查已被证明可以重新引导不适当的申请，不过尚未有关于其他结果的报道。本研究评估了117名申请者，其中63%接受了医学检查，并在有指征时接受了医学指导的干预措施。然后在6周和12周时对所有申请者进行了重新评估。干预组和对照组在生存率、认知评分、残疾、失禁或自我报告的健康状况方面均未发现显著差异。干预措施确实将一些申请者引导至更合适的护理机构，并显著提高了士气。这些结果引发了一个问题，即在没有其他显著健康益处的情况下，主要将医学评估用于执行入院标准是否合适。然而，干预组士气的更大改善确实表明医学检查有一定益处。
