Williams B C, Fries B E, Mehr D R
Geriatrics Research Education and Clinical Center, Ann Arbor VA Medical Center, MI.
J Aging Health. 1993 May;5(2):208-28. doi: 10.1177/089826439300500204.
To examine the patterns and determinants of length of stay among residents of nursing homes of the Department of Veterans Affairs (VA), the authors conducted a retrospective follow-up study of all persons (n = 4,918) admitted to VA nursing homes between October 1986, and April 1987, using computerized records of the VA. Brief-stay (< 1 month; n = 1,139) residents had most often had previous admissions to VA nursing homes and were usually discharged alive from the nursing home. Medium-stay (1-6 months; n = 1,947) residents were the least functionally impaired and most likely to receive rehabilitative services. Long-stay residents (> 6 months; n = 1,832) were older and more functionally impaired than other residents. Medium- and long-stay residents of VA nursing homes most resembled "short-" and "long-stay" residents among non-VA nursing home residents, respectively. Brief-stay residents may be persons admitted for "respite" services or may be serial users of both VA and non-VA health services. Further study of this population may identify opportunities to decrease "revolving-door" use of nursing home services.
为研究美国退伍军人事务部（VA）疗养院居民的住院时间模式及决定因素，作者利用VA的计算机化记录，对1986年10月至1987年4月期间入住VA疗养院的所有人（n = 4918）进行了一项回顾性随访研究。短期住院（<1个月；n = 1139）的居民此前大多曾入住过VA疗养院，且通常从疗养院活着出院。中期住院（1 - 6个月；n = 1947）的居民功能受损程度最轻，接受康复服务的可能性最大。长期住院（>6个月；n = 1832）的居民比其他居民年龄更大，功能受损程度也更严重。VA疗养院的中期和长期住院居民分别与非VA疗养院居民中的“短期”和“长期”住院居民最为相似。短期住院居民可能是因“临时休息”服务入院，也可能是VA和非VA医疗服务的连续使用者。对这一人群的进一步研究可能会发现减少疗养院服务“旋转门”式使用的机会。
