A Prospective Study
A Prospective Study
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发表时间：
2009
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通讯作者：
A. Bosquet;A. Medjkane;Dorit Voitel-Warneke;P. Vinceneux;I. Mahé
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作者：
A. Bosquet;A. Medjkane;Dorit Voitel-Warneke;P. Vinceneux;I. Mahé
目标：允许某些住院患者投票可能会存在伦理问题，因为有些患者可能存在认知障碍。 2007 年法国大选期间，我们对住院患者的投票情况进行了一项前瞻性观察研究。方法：纳入选举日在内科和老年科住院的患者。主要结局是登记住院患者的投票率，次要结局是简易精神状态检查（MMSE）分数和弃权原因。结果：142 名住院患者（平均年龄 73 岁）中，84 人有资格投票，22 人实际投票（投票率 25.2%）。在选民中，23%的人MMSE分数低于12； 58% 的弃权与手术相关。讨论：在我们的研究中，一些住院患者由于程序问题没有投票。严重认知障碍患者投票时，存在潜在的选票转移风险。应改进投票程序，让住院患者更容易获得选票，同时保护他们免受欺诈风险。
Objective: There may be ethical issues associated with allowing certain inpatients to vote as some may be cognitively impaired. During the 2007 elections in France, we conducted a prospective observational study on voting among hospitalized patients. Method: Patients hospitalized in an Internal Medicine and Geriatric Department on election day were included. The primary outcome was the turnout among registered inpatients, and secondary outcomes were Mini-Mental State Examination (MMSE) scores and reasons for abstention. Results: Of 142 inpatients (mean age 73 years), 84 were eligible to vote, and 22 actually voted (turnout 25.2%). Among the voters, 23% had an MMSE score of less than 12; 58% of abstentions were procedure-related. Discussion: In our study, some inpatients did not vote as a result of procedural issues. When patients with severe cognitive impairment vote, there is a potential risk of vote diversion. Voting procedures should be improved to give inpatients easier access to the ballot while protecting them from the risk of fraud.