丹麦全科医院老年患者的咨询频率模式
Jonas Korsholm Olsen1, Sonja Wehberg2, Frans Boch Waldorff3
1Research Unit for General Practice, Department of Public Health, University of Southern Denmark, Odense, Denmark jkolsen@health.sdu.dk.
BJGP open
|February 20, 2025
概括
一般实践正在向老年患者的统一咨询模式转变. 这项研究确定了不同的实践概况,揭示了随着时间的推移,服务交付的整合趋势.
科学领域:
- 老年医学 老年医学
- 初级保健研究研究初级保健研究
- 医疗保健服务研究 医疗服务研究
背景情况:
- 一般实践服务于越来越多的老年人群,他们的咨询需求也越来越多.
- 面对面,电话和电子邮件咨询,家庭访问和慢性护理审查的结合存在各种方法.
研究的目的:
- 确定老年患者的一般诊所咨询类型的不同配置文件.
- 检查这些个人资料与实践特征之间的关系.
主要方法:
- 一项基于登记的队列研究包括了所有75岁及以上的丹麦公民.
- 隐性个人资料分析用于检查2017-2021年间的咨询频率,并根据患者人口统计学进行调整.
主要成果:
- 确定了四个配置文件:一个"多数"配置文件和三个临时配置文件 ("电话繁重", "高频", "电话和电子邮件繁重").
- "手机沉重"的个人资料与老年,单手全科医生有关.
- 到2021年,观察到一个单一"多数"个人资料的趋势,表明统一性增加.
结论:
- 老年患者的全科医院咨询模式正在变得越来越标准化.
- 需要进一步的研究,以了解特定咨询提供水平对医疗保健利用的下游影响.
相关概念视频
01:23Assessment of the Cardiovascular System I: Subjective Data
261
A thorough health history and physical assessment are essential for identifying cardiovascular disease (CVD) symptoms and distinguishing them from other health issues.
Initial Enquiry
Ask the patient about their primary concern and thoroughly explore all reported symptoms.
Medical History
Investigate past illnesses affecting the cardiovascular system, such as angina, anemia, rheumatic fever, congenital heart disease, stroke, thrombophlebitis, dysrhythmias, varicosities
Inquire about symptoms...
Initial Enquiry
Ask the patient about their primary concern and thoroughly explore all reported symptoms.
Medical History
Investigate past illnesses affecting the cardiovascular system, such as angina, anemia, rheumatic fever, congenital heart disease, stroke, thrombophlebitis, dysrhythmias, varicosities
Inquire about symptoms...
261
01:26Methods of Documentation II: POMR
902
The Problem-Oriented Medical Record (POMR) revolutionized medical record-keeping by introducing a systematic approach focusing on the patient's problems rather than merely listing symptoms. Dr. Lawrence Weed's introduction of this method in the 1960s marked a significant advancement in medical documentation. The POMR framework consists of four key components: the database, problem list, plan of care, and progress notes.
902
01:26Methods of Documentation IV: Focus Charting
988
Focus Charting, also known as the focus charting system or "focus documentation," is a systematic documentation approach used in healthcare to organize patient information in medical records.
It typically involves three columns for recording information:
It typically involves three columns for recording information:
988
01:30Pulse rhythm
754
Pulse rhythm refers to the pattern of pulsations within specific intervals, offering valuable insights into the regularity or irregularity of the heart's beats as observed through the pattern of pulsation within specific intervals. A regular pulse exhibits a consistent heart rate with uniform waveforms and pulsation force, variations of which can be classified as normal, weak, or bounding.
Conversely, an irregular pulse pattern is termed dysrhythmia, stemming from disruptions in cardiac...
Conversely, an irregular pulse pattern is termed dysrhythmia, stemming from disruptions in cardiac...
754
01:13Special considerations while measuring pulse
551
Assessing a patient's pulse is a fundamental skill in healthcare, but certain situations require special attention:
551
01:29Data Collection II
7.1K
The nursing history captures and records the patient's health status, so that a care plan evolves to meet the patient's individual needs. The nursing health history is a part of the initial assessment. A comprehensive history covers all health dimensions and plays a significant role in the assessment process. A comprehensive history includes the patient's biographical information, reasons for seeking health care, expectations, present and past health history, medications, and...
7.1K