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Is comprehensive geriatric assessment recognized and applied in southwest china? A survey from sichuan association of geriatrics

机译:中国西南地区是否认可并应用了全面的老年医学评估?四川省老年医学会的一项调查

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Objectives: To investigate how health care providers in Southwest China conducted comprehensive geriatric assessment (CGA) in their clinical practices. Methods: One hundred twenty-two medical care providers who attended the 2012 Sichuan Association of Geriatrics (SAG) Continuing Medical Education participated in this cross-sectional survey. The instrument was divided into 2 parts, including respondents' demographics and information on their application of CGA. Results: Of the total 122 participants, 120 (73 physicians and 47 nurses) responded. Three-quarters of the respondents reported that they evaluated at least 1 item of CGA separately. Among them, 30/32 respondents from university-affiliated hospitals reported having performed CGA compared with 18/22 from community hospitals or retirementursing facilities and 42/66 from provincial or county hospitals ( P<.001), respectively. Respondents who attended the SAG Continuing Medical Education were more likely to complete the CGA (86.5% vs 66.2%, P=.011) and the integrated CGA (48.9% vs 20.0%, P<.001). Physicians were more likely to assess the instrument daily living capacity and communication capacity. Nurses were more focused on the basic activities of daily living, economic support, and caregiver. Conclusions: These findings showed that the application of CAG in the mainland of China is not adequate. The training program related to CGA held by the SAG was helpful in improving the proportion of effective use of CGA. More efforts should be made in the future to build the CGA work team.
机译:目的:调查中国西南地区的医疗服务提供者如何在其临床实践中进行全面的老年医学评估(CGA)。方法:参加2012年四川省老年医学会持续医学教育的122名医疗服务提供者参加了该横断面调查。该工具分为两部分,包括受访者的人口统计信息和有关其CGA应用的信息。结果:在总共122位参与者中,有120位(73位医生和47位护士)做出了回应。四分之三的受访者表示,他们分别评估了至少一项CGA。其中,大学附属医院中有30/32的受访者报告了进行过CGA,而社区医院或退休/护理机构的有18/22,省或县医院的有42/66(P <.001)。参加SAG继续医学教育的受访者更有可能完成CGA(86.5%对66.2%,P = .011)和综合CGA(48.9%对20.0%,P <.001)。医生更有可能评估仪器的日常生活能力和沟通能力。护士更加注重日常生活的基本活动,经济支持和照顾者。结论:这些发现表明,CAG在中国大陆的应用不充分。 SAG举办的有关CGA的培训计划有助于提高CGA有效使用的比例。将来应加大力度来建立CGA工作团队。

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