アルバータ州の老年患者の医療指名に関する議論の電子文書化
Suzanne E Aronyk1, Kimberley Higgins1, Lesley Charles1
1Division of Care of the Elderly, Department of Family Medicine, University of Alberta, Edmonton, AB.
Canadian geriatrics journal : CGJ
|August 29, 2025
まとめ
高齢者の半数未満の患者は,EMRに医療目的を記載していました. 医療従事者は この重要な患者ケア書類の 作成を優先すべきです
科学分野:
- 高齢者医療
- 医療政策
- 医療文書
背景:
- GCDは生命を制限する病気の重要な医学的命令です.
- カナダの高齢化人口は 生命維持ケアに対する患者の希望の更新された文書を必要としています
- 患者の自律性の向上は,正確なGCD記録の重要性を強調しています.
研究 の 目的:
- 高齢者におけるケア指名 (GCD) 文書の頻度を決定する.
- 完了したGCDフォームの設定と提供者の専門性を分析する.
主な方法:
- 65歳以上の400人の患者の逆行図のレビュー
- アルバータ大学病院で2022年7月から2023年6月にかけて収集されたデータ.
- GCDのドキュメントの頻度,ディスカッションの設定,および提供者の専門性を抽出しました.
主要な成果:
- 電子医療記録 (EMR) にGCDを記録した患者はわずか49. 3%でした.
- 356のGCDフォームの 75%は入院施設で行われました.
- 内科と家庭内科の専門医がGCDフォームを最も頻繁に記入しました.
結論:
- 高齢者の半数未満が 地方EMRにGCDの文書を載せています
- 正確なGCD文書は,患者のケアと自立のために不可欠です.
- 医療従事者は,GCDの重要なドキュメントを完成させる機会を最大限に活用するべきです.
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