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[家庭医生对老年患者的管理]

[Management of elderly patients by the family physician].

作者信息

Fischer G C

机构信息

Abteilung Allgemeinmedizin im Zentrum Offentliche Gesundheitspflege, Medizinische Hochschule Hannover.

出版信息

Z Arztl Fortbild (Jena). 1995 Dec;89(8):783-9.

PMID:8850109
Abstract

The care for elderly patients is traditionally a task of the general practitioner and will be of increasing importance in the future. Medical considerations focus on the patient's functional abilities which should play a primary role. These should, however, not neglect the patient's resources for the development of social and mental competence. Medical interventions so far will also need social indications evaluating their importance in the every day life context of the individual patient. Based on scientific knowledge of geriatrics and gerontology there should be a wide-spread introduction of standardized instruments into geriatric diagnostics and evaluation. Geriatric screening may be one example. This will support the development of a special geriatric quality management in general practice. There is a need for further development of ambulatory rehabilitation for the elderly. The general practitioner in this field will have to control the teamwork with rehabilitation-professionals and professionals from the social support services.

摘要

传统上,照顾老年患者是全科医生的任务,并且在未来其重要性将日益增加。医学考量聚焦于患者的功能能力,这应发挥主要作用。然而,这些不应忽视患者发展社交和心理能力的资源。迄今为止的医学干预也将需要社会指征来评估其在个体患者日常生活背景中的重要性。基于老年医学和老年学的科学知识,应广泛将标准化工具引入老年诊断和评估。老年筛查可能就是一个例子。这将有助于在全科医疗中发展特殊的老年质量管理。老年患者的门诊康复需要进一步发展。该领域的全科医生必须掌控与康复专业人员以及社会支持服务专业人员的团队合作。

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