Informational yield of comprehensive Geriatric Home Assessment.

Family practice research journal Pub Date : 1993-09-01
J P Lemkau, A M Martin, C G Olsen
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Abstract

Objective: The purpose of this study was to compare the relative informational yield of Geriatric Home Assessments with medical charts of patients seen in family practice settings.

Methods: The information from comprehensive Geriatric Home Assessments of 28 well-established patients, conducted by small groups of medical students in a family practice clerkship, was compared with information available in the medical charts of these patients for the previous three years.

Results: For no problem studied was identification in the medical chart as high as from the Geriatric Home Assessment. Problems with family/social support, inadequate dental care, and immunization deficiencies were frequently noted in the Geriatric Home Assessment but only rarely in the medical chart. Concordance between Geriatric Home Assessment and medical charts was greatest for depression/anxiety, sensory loss, smoking, dizziness, and sleep problems.

Conclusions: While evaluation of the utilization of information was beyond the scope of the current study, the results suggest the potential usefulness of complementing office care with home assessments in establishing a data base for the medical management of elderly patients in primary care settings.

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综合老人家庭评估的信息产出。
目的:本研究的目的是比较老年家庭评估与家庭就诊患者病历的相对信息产量。方法:对28例在家庭诊所实习的医学生进行综合老年家庭评估,并与这些患者过去三年的病历资料进行比较。结果:无问题的诊断在医疗图表中与在老年家庭评估中一样高。家庭/社会支持、牙科护理不足和免疫缺陷等问题在老年家庭评估中经常被注意到,但在医疗图表中却很少被注意到。老年家庭评估与医疗图表在抑郁/焦虑、感觉丧失、吸烟、头晕和睡眠问题上的一致性最大。结论:虽然评估信息的利用超出了当前研究的范围,但结果表明,在建立初级保健机构老年患者医疗管理数据库时,补充办公室护理与家庭评估的潜在有用性。
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