医生与疗养院护理。
Physicians and nursing home care.
作者信息
Brooks T R
机构信息
King/Drew Medical Center, Los Angeles, California, USA.
出版信息
J Natl Med Assoc. 1998 Jun;90(6):349-52.
Historically, physicians have not played a prominent role in the care of older adults who reside in nursing homes. Physicians have been criticized for abandoning their responsibilities to nursing home residents since the industry's rapid growth in the 1960s, following the enactment of Medicare and Medicaid. As many as 72% of private physicians do not go to nursing homes. This is true even of those family doctors and internists whose practices are disproportionately devoted to the elderly. Caring for institutionalized elderly patients over the long term presents challenges that even physicians experienced with geriatric patients in the community may find daunting. This study investigates reasons why physicians in the Los Angeles area hesitate or refuse to see nursing home patients.
从历史上看，医生在照顾住在养老院的老年人方面并未发挥突出作用。自20世纪60年代医疗保险和医疗补助计划颁布后该行业迅速发展以来，医生一直因放弃对养老院居民的责任而受到批评。多达72%的私人医生不去养老院。即使是那些诊疗工作不成比例地主要面向老年人的家庭医生和内科医生也是如此。长期照顾住在养老院的老年患者存在诸多挑战，即使是在社区中经验丰富的老年病医生也可能觉得困难重重。本研究调查了洛杉矶地区的医生犹豫或拒绝诊治养老院患者的原因。
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