在中年期照顾功能障碍患者:初级保健提供者和老年医生的观点
Abigail M Schmucker1, David Reyes-Farias2, Francesca M Nicosia3,4
1Department of Internal Medicine, Hospital of the University of Pennsylvania, Philadelphia, PA, USA. abigail.schmucker@pennmedicine.upenn.edu.
Journal of general internal medicine
|March 15, 2024
概括
中年有功能障碍的成年人与老年人有类似的需求,但面临着独特的障碍. 临床医生建议综合护理模式,以改善这种不断增长的人口的获取和支持.
科学领域:
- 老年病的医生 老年病的医生
- 主要护理是指初级护理.
- 医疗保健服务研究 医疗服务研究
背景情况:
- 中年成年人的功能障碍正在增加,这与健康状况不佳有关.
- 了解医疗保健提供者对这一人口群体的看法对于有效的护理至关重要.
研究的目的:
- 探索初级保健提供者 (PCP) 和老年医生对功能障碍中年成人需求的看法.
- 为了确定最优的护理策略和挑战,在管理这个患者群体.
主要方法:
- 一项定性研究,涉及与PCP和老年医生进行半结构面试.
- 专题分析用于分析关于患者特征,需求和护理模式的采访数据.
主要成果:
- 临床医生注意到类似的临床需求,但在中年和老年人中,功能障碍的发病率不同.
- 障碍包括有限的保险,不充分的培训,以及患者层面的因素,如耻辱和护理人员的减少.
- 建议的解决方案包括集成的,以团队为基础的护理,解决社会需求和加强临床医生培训.
结论:
- 功能障碍的中年成人需要照顾他们的需求的护理模式,类似于老年人.
- 目前的系统存在特定年龄的障碍,需要改善对不论年龄的综合服务和支持的获取.
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