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首页> 美国卫生研究院文献>Frontiers in Public Health >How Do General Practitioners (GPs) Engage in Falls Prevention With Older People? A Pilot Survey of GPs in NHS England Suggests a Gap in Routine Practice to Address Falls Prevention
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How Do General Practitioners (GPs) Engage in Falls Prevention With Older People? A Pilot Survey of GPs in NHS England Suggests a Gap in Routine Practice to Address Falls Prevention

机译：全科医生如何与老年人一起预防跌倒？英国NHS中的GP的初步调查表明常规做法存在一定的差距以解决预防瀑布的问题

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Falls are highly prevalent amongst older people and have substantial financial and social costs for health services and the community. Prevention of falls is the key to managing this threat to older people. General practitioners can identify older people at risk of falls on their caseloads. Once identified, actions can be taken to reduce the risk of falls by referring to appropriate services available in the community, such as allied health practitioners. However, the level of engagement in evidence based falls prevention by GPs is unknown. This study aimed to explore how British general practitioners (GPs) address falls prevention with older people, and to determine if there are any gaps in practice. As a pilot study, another aim was to test the feasibility of methods to survey GPs, if a larger survey was warranted from the findings. An on-line cross-sectional survey was distributed by email to all the Clinical Commissioning Groups in NHS England (n = 213) and individual general practices listed on the NHS Choices website, supplemented by invitations distributed to CCGs through Twitter and LinkedIn sites. Thirty-seven responses were received. Most GPs were unfamiliar with the 2013 NICE guidelines on assessment and prevention of falls in older people (51.4%, n = 19), and only 29.7% (n = 11) asked older people if they had fallen during consultations. If falls risk was identified, 81.1% (n = 30) frequently made referrals to physiotherapy (PT) and 56.8% (n = 21) to occupational therapy (OT). Most GPs did not identify older people on their caseloads as being at risk of falls unless they presented with a fall, and referral rates to relevant AHPs or falls prevention programs were low. Barriers to implementation of falls prevention best practice were identified. Alternative methods are needed to capture the falls prevention practice of a wider sample of GPs.
机译：跌倒在老年人中非常普遍，并给医疗服务和社区带来了巨大的经济和社会成本。预防跌倒是应对老年人威胁的关键。全科医生可以识别出有可能因病案而跌倒的老年人。一旦确定，便可以采取行动，通过参考社区中可用的适当服务（例如，专职医疗人员）来降低跌倒的风险。但是，全科医生参与基于证据的跌倒预防的水平尚不清楚。这项研究旨在探讨英国全科医生（GPs）如何解决老年人预防跌倒的问题，并确定实践中是否存在任何差距。作为一项初步研究，另一个目的是检验调查GP的方法的可行性，如果需要从调查结果中进行更大范围的调查。在线横截面调查已通过电子邮件分发给了NHS英格兰的所有临床调试小组（n = 213），并在NHS Choices网站上列出了个别常规，并通过Twitter和LinkedIn网站向CCG发出了邀请。收到了三十七份答复。大多数全科医生不熟悉2013年NICE关于评估和预防老年人跌倒的指南（51.4％，n = 19），只有29.7％（n = 11）询问老年人在咨询过程中是否跌倒。如果发现跌倒风险，则有81.1％（n = 30）经常转诊至物理治疗（PT），而有56.8％（n = 21）经常转诊至职业治疗（OT）。大多数全科医生不会将老年人从他们的病案中识别出有跌倒的风险，除非他们出现跌倒，并且相关AHP或跌倒预防计划的转诊率很低。确定了预防跌倒最佳实践的障碍。需要其他方法来捕获更多GP的跌倒预防实践。

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