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老年医学继续医学教育的需求。第1部分:患者和社区信息提供者的看法。

Needs for CME in geriatrics. Part 1: Perceptions of patients and community informants.

作者信息

Pereles L, Russell M L

机构信息

Department of Community Health Sciences, Faculty of Medicine, University of Calgary.

出版信息

Can Fam Physician. 1996 Mar;42:437-45.

Abstract

OBJECTIVE

To describe the needs of physicians for continuing education in geriatrics as perceived by patients and community informants.

DESIGN

Cross-sectional survey by mail and in-person interviews.

SETTING

Organizations working with the elderly in the community and patients in a primary care population in Calgary.

PARTICIPANTS

Key informants working with the elderly in the community, including managers and providers of physical, psychosocial, educational, or mental health services to the elderly, and the first two geriatric patients visiting physicians after telephone contact from study investigators were surveyed. Twenty-five of 27 key community informants and 32 of 61 geriatric patients responded.

MAIN OUTCOME MEASURE

Potential topics for continuing medical education.

RESULTS

The 10 most frequently identified topics were communication, time management, attitudes to the elderly, medication, continuity of care, mental health, medical management of complicated cases, knowledge of community resources, health promotion, and compassion. Patients were more concerned than key informants about the process of care. Key informants were concerned about the technical aspects of care.

CONCLUSIONS

The process of care as well as technical aspects of care must be addressed in continuing education in geriatrics for physicians.

摘要

目的

描述患者和社区信息提供者所认为的医生在老年医学继续教育方面的需求。

设计

通过邮件和面对面访谈进行横断面调查。

地点

卡尔加里社区中与老年人合作的组织以及初级保健人群中的患者。

参与者

社区中与老年人合作的关键信息提供者,包括为老年人提供身体、心理社会、教育或心理健康服务的管理人员和提供者,以及在研究调查人员电话联系后就诊的前两名老年患者接受了调查。27名关键社区信息提供者中有25名以及61名老年患者中有32名做出了回应。

主要观察指标

继续医学教育的潜在主题。

结果

最常被提及的10个主题是沟通、时间管理、对老年人的态度、药物治疗、护理连续性、心理健康、复杂病例的医疗管理、社区资源知识、健康促进和同情心。患者比关键信息提供者更关注护理过程。关键信息提供者关注护理的技术方面。

结论

在医生的老年医学继续教育中,必须兼顾护理过程以及护理的技术方面。

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