老年综合评估及其在老年医疗照护体系中的应用
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摘要
该文介绍老年病学的核心技术——老年综合评估及其在老年医疗照护体系中的应用,包括老年综合评估的概念、发展历程、主要内容、适应人群、评估工具、工作方式、评估的医疗目标和非医疗目标,讨论了老年综合评估在老年病医院、护理院、社区、家庭等老年医疗照护机构的应用,建议老年综合评估与我国的医疗卫生体系相结合,完善我国的老年医疗照护体系,更好地为老年病人服务。
This article introduced the core technology of geriatrics:Comprehensive Geriatric Assessment(CGA) and its use in the healthcare system for the elderly,including the concept of CGA,its development,major contents,intended population,evaluation tools,working manner,the medical and nonmedical aims.The application of CGA in the geriatric hospitals,nursing homes,the communities and homes was discussed.In order to provide better medical service for the older patients,further suggestions for combination of CGA with Chinese healthcare system and improvement of Chinese healthcare system for the elderly are proposed.
This article introduced the core technology of geriatrics:Comprehensive Geriatric Assessment(CGA) and its use in the healthcare system for the elderly,including the concept of CGA,its development,major contents,intended population,evaluation tools,working manner,the medical and nonmedical aims.The application of CGA in the geriatric hospitals,nursing homes,the communities and homes was discussed.In order to provide better medical service for the older patients,further suggestions for combination of CGA with Chinese healthcare system and improvement of Chinese healthcare system for the elderly are proposed.
引文
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[2]项丹妮,俞卓伟,郑松柏,等.社区家庭照护患者的老年综合征研究[J].老年医学与保健,2013,19(2):108-111.
[3]WIELAND D,HIRTH V.Comprehensive geriatric assessment[J].Cancer Control,2003,10(6):454-462.
[4]GRIMLEY EVANS J.Geriatric medicine:a brief history[J].BMJ,1997,315(7115):1075-1077.
[5]RUBENSTEIN L Z.Joseph T.Freeman award lecture:comprehensive geriatric assessment:from miracle to reality[J].J Gerontol:Ser A,2004,59(5):M473-M477.
[6]NISHINAGA M.Comprehensive geriatric assessment and team intervention[J].JMAJ,2007,50(6):461-466.
[7]何晓婷,侯懿真,王亭力.临床心理师在周全性老年病人评估之角色[J].台湾老年医学暨老年学杂志,2009,4(2):102-105.
[8]王秋梅,刘晓红.老年人综合评估的实施[J].中华老年医学杂志,2012,31(1):13-15.
[9]项丹妮,郑松柏.老年病科常用评估工具及其应用[J].中华老年病研究电子杂志,2018,5(1):23-36.
[10]RUBENSTEIN L Z,ABRASS I B,KANE R L.Improved care for patients on a new geriatric evaluation unit[J].J Am Geriatr Soc,1981,29(11):531-536.
[11]STUCK A E,SIU A L,WIELAND G D,et al.Comprehensive geriatric assessment:a meta-analysis of controlled trials[J].Lancet,1993,342(8878):1032-1036.
[12]ELLIS G,LANGHORNE P.Comprehensive geriatric assessment for older hospital patients[J].Br Med Bull,2005,71:45-59.
[13]PHIBBS C S,HOLTY J E,GOLDSTEIN M K,et al.The effect of geriatrics evaluation and management on nursing home use and health care costs:results from a randomized trial[J].Med Care,2006,44(1):91-95.
[14]HIRTH V,BASKINS J,DEVER-BUMBA M.Program of all-inclusive care (PACE):past,present,and future[J].J Am Med Dir Assoc,2009,10(3):155-160.
[15]COUNSELL S R,CALLAHAN C M,BUTTAR A B,et al.Geriatric resources for assessment and care of elders (GRACE):a new model of primary care for low-income seniors[J].J Am Geriatr Soc,2006,54(7):1136-1141.
[16]MAYO-WILSON E,GRANT S,BURTON J,et al.Preventive home visits for mortality,morbidity,and institutionalization in older adults:a systematic review and meta-analysis[J].PLoS One,2014,9(3):e89257.
[17]PHILP I,NEWTON P,MCKEE K J,et al.Geriatric assessment in primary care:formulating best practice[J].Br J Community Nurs,2001,6(6):290-295.
[18]CHEN P,STEINMAN M A.Perception of primary care physicians on the impact of comprehensive geriatric assessment:what is the next step?[J].Isr J Health Policy Res,2016,5:46.
[19]陈旭娇,严静.《中国老年综合评估技术应用专家共识》解读[J].中华老年医学杂志,2018,37(2):123-124.
[2]项丹妮,俞卓伟,郑松柏,等.社区家庭照护患者的老年综合征研究[J].老年医学与保健,2013,19(2):108-111.
[3]WIELAND D,HIRTH V.Comprehensive geriatric assessment[J].Cancer Control,2003,10(6):454-462.
[4]GRIMLEY EVANS J.Geriatric medicine:a brief history[J].BMJ,1997,315(7115):1075-1077.
[5]RUBENSTEIN L Z.Joseph T.Freeman award lecture:comprehensive geriatric assessment:from miracle to reality[J].J Gerontol:Ser A,2004,59(5):M473-M477.
[6]NISHINAGA M.Comprehensive geriatric assessment and team intervention[J].JMAJ,2007,50(6):461-466.
[7]何晓婷,侯懿真,王亭力.临床心理师在周全性老年病人评估之角色[J].台湾老年医学暨老年学杂志,2009,4(2):102-105.
[8]王秋梅,刘晓红.老年人综合评估的实施[J].中华老年医学杂志,2012,31(1):13-15.
[9]项丹妮,郑松柏.老年病科常用评估工具及其应用[J].中华老年病研究电子杂志,2018,5(1):23-36.
[10]RUBENSTEIN L Z,ABRASS I B,KANE R L.Improved care for patients on a new geriatric evaluation unit[J].J Am Geriatr Soc,1981,29(11):531-536.
[11]STUCK A E,SIU A L,WIELAND G D,et al.Comprehensive geriatric assessment:a meta-analysis of controlled trials[J].Lancet,1993,342(8878):1032-1036.
[12]ELLIS G,LANGHORNE P.Comprehensive geriatric assessment for older hospital patients[J].Br Med Bull,2005,71:45-59.
[13]PHIBBS C S,HOLTY J E,GOLDSTEIN M K,et al.The effect of geriatrics evaluation and management on nursing home use and health care costs:results from a randomized trial[J].Med Care,2006,44(1):91-95.
[14]HIRTH V,BASKINS J,DEVER-BUMBA M.Program of all-inclusive care (PACE):past,present,and future[J].J Am Med Dir Assoc,2009,10(3):155-160.
[15]COUNSELL S R,CALLAHAN C M,BUTTAR A B,et al.Geriatric resources for assessment and care of elders (GRACE):a new model of primary care for low-income seniors[J].J Am Geriatr Soc,2006,54(7):1136-1141.
[16]MAYO-WILSON E,GRANT S,BURTON J,et al.Preventive home visits for mortality,morbidity,and institutionalization in older adults:a systematic review and meta-analysis[J].PLoS One,2014,9(3):e89257.
[17]PHILP I,NEWTON P,MCKEE K J,et al.Geriatric assessment in primary care:formulating best practice[J].Br J Community Nurs,2001,6(6):290-295.
[18]CHEN P,STEINMAN M A.Perception of primary care physicians on the impact of comprehensive geriatric assessment:what is the next step?[J].Isr J Health Policy Res,2016,5:46.
[19]陈旭娇,严静.《中国老年综合评估技术应用专家共识》解读[J].中华老年医学杂志,2018,37(2):123-124.