Kelly M H, Tilbury M S, Ackerman R M
NIAID, NIH, Bethesda, MD, USA.
Outcomes Manag Nurs Pract. 2000 Jan-Mar;4(1):46-50.
The market demand for major arthroplasty procedures is increasing. This descriptive comparative study was conducted to examine clinical and fiscal outcomes in total joint arthroplasty patients discharged either to home or to a subacute unit. The post-acute care setting was self-selected by patients after information was provided on both options. The Self-Administered Joint Rating Questionnaire served as the primary data collection tool. Age, health status, and living alone were significant factors in post-acute care site selection. Although there were no significant differences in clinical outcomes between the two groups, overall costs were substantially different. Opportunities to maintain outcome status, while reducing total costs, in the subacute group are discussed.
主要关节置换手术的市场需求正在增加。本描述性比较研究旨在检查全关节置换术后出院回家或转至亚急性护理单元的患者的临床和财务结果。急性后期护理环境由患者在了解两种选择的信息后自行选择。自我管理的关节评分问卷作为主要的数据收集工具。年龄、健康状况和独居是急性后期护理地点选择的重要因素。虽然两组之间的临床结果没有显著差异，但总体成本却有很大不同。本文讨论了在亚急性护理组中维持结果状态同时降低总成本的机会。
