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医院与老年护理:分清误区与事实。

Hospitals and seniorcare: separating myth from fact.

作者信息

Fritts G G

出版信息

DRG Monit. 1990 Sep;8(1):1-8.

PMID:10106925
Abstract

Not every hospital should attempt to serve the senior market. For the right hospitals, it can be extremely rewarding, both professionally and financially. A hospital management team should be able to answer "yes" to most of the following questions if they want to proceed. Do 65+ persons exceed 12 to 15 percent of the population in your service area? A concentration of senior persons is required to provide a sufficient market for services. Are there organized groupings such as lifecare communities, adult communities, etc. within you service area? Marketing efforts can be targeted to these groups, including personal calls and special physician programs. Do you have physicians/groups that specialize in geriatric care? These groups provide the basis for quality care and will help promote the interest of other physicians in senior programs. Do you have strong cardiac, oncology, and orthopedic programs? These are the areas most often used by senior patients as they progress through their experiences with chronic illnesses. Do you have an aggressive and developing social work group? Social workers help locate patients in the service area, provide a basis for group activities, and outplace patients after a hospital stay. Is the volunteer group strong, populated with 50+ individuals and looking for more to do? Seniors are excellent emissaries in the community and they relate well to inpatient seniors who are often reluctant to interface with ill peers. Is your facility a low cost provider, i.e., can you break even or better on Medicare? Having a seniorcare program will obviously increase the Medicare numbers in the hospital census.(ABSTRACT TRUNCATED AT 250 WORDS)

摘要

并非每家医院都应尝试服务老年市场。对于合适的医院而言,这在职业发展和经济收益方面都可能极具价值。如果医院管理团队想要推进相关业务,应能对以下大多数问题给出肯定回答。在你们的服务区域内,65岁及以上的人群是否超过了当地人口的12%至15%?需要有一定数量的老年人来形成足够的服务市场。在你们的服务区域内是否存在诸如生活护理社区、成人社区等有组织的群体?营销活动可以针对这些群体,包括亲自拜访和特殊的医生项目。你们是否有专门从事老年护理的医生/团队?这些团队为优质护理提供基础,并有助于提升其他医生对老年项目的兴趣。你们是否有强大的心内科、肿瘤科和骨科项目?这些是老年患者在应对慢性病过程中最常涉及的领域。你们是否有一个积极进取且不断发展的社会工作团队?社会工作者有助于在服务区域内寻找患者,为群体活动提供基础,并在患者出院后为其安排去处。志愿者团队是否强大,有50岁及以上的成员且希望承担更多工作?老年人是社区中的优秀传播者,他们与住院的老年人关系融洽,而这些住院老人往往不愿与生病的同龄人交流。你们的机构是否是低成本提供者,即你们在医疗保险方面能否实现收支平衡甚至更好?开展老年护理项目显然会增加医院统计中的医疗保险患者数量。(摘要截取至250字)

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