Renwick M, Gillett S, Liu Z
Health Services Division, Australian Institute of Health, Canberra.
Aust Health Rev. 1992;15(3):284-98.
This analysis of the use of acute hospitals by older people identifies the extent of long stays by elderly patients and the eventual outcomes of these stays in terms of separations to residential care or the community. The effect of casemix on length of stay and differences associated with location of hospital are also discussed. Less than 0.5% of all acute hospital inpatients are older people who could be considered nursing home type patients. These patients use some 9% of all acute bed days and, in most cases, these beds would otherwise be unoccupied. It is unlikely therefore that they are 'blocking' beds that could be used to relieve waiting lists.
这项针对老年人急性医院使用情况的分析，确定了老年患者长期住院的程度，以及这些住院在转至机构护理或社区方面的最终结果。还讨论了病例组合对住院时间的影响以及与医院位置相关的差异。所有急性医院住院患者中，不到0.5%是可被视为养老院类型的老年患者。这些患者占用了约9%的急性病床日，而且在大多数情况下，这些床位否则将无人占用。因此，他们不太可能“占用”可用于缓解候诊名单的床位。
