Brooks T R
J Natl Med Assoc. 1993 Jan;85(1):61-4.
The federal government, as well as teaching institutions, are concerned about the current negative attitudes of doctors, medical students, and paramedical personnel toward the elderly. Increased life expectancy at birth and lowered birth rates are changing the demographics of America. As the number of elderly citizens increases, greater demands are being placed on medical educators to train physicians who can meet the "geriatric imperative." The Institute of Medicine has recommended that comprehensive humanistic medical education in geriatrics be integrated throughout the curricula of medical schools. Research is needed to see if change can be implemented in physician training to improve attitudes toward the elderly. Previous attempts to improve medical students' attitudes toward the elderly have met with mixed success. Control groups have seldom been used. It is important to determine whether the effects of medical education extends beyond the immediate boundaries of a training curriculum. This article reports the results of a study on negative attitudes toward the elderly among residents, medical students, and physician's assistant students in the family medicine department at the King/Drew Medical Center in Los Angeles, California.
联邦政府以及教学机构都对医生、医学生和医护辅助人员目前对老年人的消极态度表示关切。出生时预期寿命的增加和出生率的下降正在改变美国的人口结构。随着老年公民数量的增加，对医学教育工作者提出了更高的要求，以便培养出能够满足“老年医学需求”的医生。医学研究所建议，应将全面的老年人文医学教育纳入医学院的整个课程体系。需要开展研究，以确定能否在医生培训中实施变革，从而改善对老年人的态度。以往改善医学生对老年人态度的尝试取得了喜忧参半的成果。很少使用对照组。确定医学教育的影响是否超出培训课程的直接范围很重要。本文报告了一项针对加利福尼亚州洛杉矶市国王/德鲁医疗中心家庭医学科住院医师、医学生和医师助理学生对老年人消极态度的研究结果。
