Guidelines, practice policies, and parameters: the case for geriatrics.
Guidelines, practice policies, and parameters: the case for geriatrics.
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指南、实践政策和参数：老年病学案例。
DOI：
10.1111/j.1532-5415.1994.tb06867.x
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发表时间：
1994
影响因子：
6.3
通讯作者：
Roizen,MF
中科院分区：
文献类型：
--
作者：
Rudberg,MA;Barr,G;Cassel,CK;Hayward,RS;Sussman,EJ;Roizen,MF
目标：随着人口老龄化，老年人的护理变得更加重要。与此同时，正在出版更多的实践指南，为适当的护理提供建议。这项工作的目的是要确定的比例，包含特定的信息对老年人的指导方针。设计：通过随机抽样公布的指导方针中列出的美国医学会指南的实践参数，1992年版，我们确定了比例的指导方针，包含特定的年龄相关的信息。我们还确定，随着时间的推移，包含老年人信息的实践指南比例是否存在差异。结果：45.9%（95% CI，范围33.4-58.4）可能与老年人有关的指南不包含年龄信息; 24.6%（95% CI，范围13.8-35.4）的指南仅包含关于65岁以下人群的信息; 29.5%（95% CI，范围18.1-41.0）的指南包含关于老年人的具体信息。此外，有没有长期的趋势，有关老年人的准则的比例。结论：只有少数的实践准则包含有关老年人的信息。可能的原因和解决方案，这一不足进行了讨论。
Objective: As the population ages, the care of older persons becomes more important. At the same time, practice guidelines that provide recommendations for appropriate care are being published in greater numbers. The purpose of this work is to determine the proportion of guidelines that contain specific information about older persons.Design: Through a random sample of published guidelines listed in theAMA Directory of Practice Parameters, 1992 Edition, we determined the proportion of guidelines that contain specific age‐related information. We also determined if, over time, there was a difference in the proportion of practice guidelines containing information about older persons.Results: 45.9% (95% CI, range 33.4–58.4) of guidelines that could conceivably pertain to older persons contain no age information; 24.6% (95% CI, range 13.8–35.4) of guidelines contain information only about persons less than 65 years of age; 29.5% (95% CI, range 18.1–41.0) of guidelines contain specific information about older persons. Moreover, there were no secular trends in the proportion of guidelines pertaining to older persons.Conclusions: Only a minority of practice guidelines contain information about older persons. Possible causes and solutions to this shortfall are discussed.