Fischer G C, Junius U
Abteilung Allgemeinmedizin, Medizinische Hochschule Hannover.
Z Gerontol Geriatr. 1998 Oct;31(5):348-54. doi: 10.1007/s003910050058.
Geriatric assessment is a means to collect health and functional data of an individual older person in a standard way. It has been developed on the secondary care level in the specialties of geriatric and rehabilitative medicine. Transferring geriatric assessment into primary care may improve health outcomes of older people, especially as it facilitates preventive diagnostic and therapeutic intervention. Yet, it is not possible to use geriatric assessment, as it is carried out in secondary care, under primary care conditions. Several adaptations will be necessary. An assessment instrument will have to be developed which takes epidemiological features of the older population into account. It will have to be tailored to the specific conditions of health delivery in primary care. Moreover, to achieve effectiveness and acceptance by health care providers and users, we see the necessity of creating an algorithmic assessment instrument which allows the use in different health situations with different levels of diagnostic detail. A primary care assessment for older people then would need to be evaluated according to its effectiveness of improving health outcomes. Potential negative effects on health beliefs may be worth considering. The final task lies in the implementation of a primary care assessment instrument into our existing health delivery format.
老年评估是一种以标准方式收集个体老年人健康和功能数据的手段。它是在老年医学和康复医学专科的二级护理层面上发展起来的。将老年评估引入初级保健可能会改善老年人的健康状况，特别是因为它有助于进行预防性诊断和治疗干预。然而，在初级保健条件下，无法直接采用二级护理中进行的老年评估方式，需要进行一些调整。必须开发一种考虑老年人群流行病学特征的评估工具，并且该工具要根据初级保健中医疗服务的具体情况进行定制。此外，为了实现医疗服务提供者和使用者的有效性和接受度，我们认为有必要创建一种算法评估工具，使其能够在不同诊断细节水平的不同健康状况下使用。然后，需要根据其改善健康状况的有效性来评估针对老年人的初级保健评估。对健康观念可能产生的潜在负面影响也值得考虑。最后的任务是将初级保健评估工具纳入我们现有的医疗服务模式中。
