Corrado O J
Department of Medicine for the Elderly, Leeds General Infirmary, Great George Street, Leeds LS1 3EX, UK.
Age Ageing. 2001 Aug;30 Suppl 3:11-4. doi: 10.1093/ageing/30.suppl_3.11.
Hospital-at-home schemes are becoming an increasingly popular way of delivering health care world-wide. Schemes differ in the type of patients they cater for and in the intensity and complexity of treatment they provide. Although they have been in existence since 1961, there have been few randomized controlled studies to determine their effectiveness as an alternative to standard hospital care. Furthermore, some studies have produced conflicting results. Although there is accumulating evidence that they produce satisfactory patient outcomes and are acceptable to patients and carers, their cost-effectiveness is still uncertain. Further randomized controlled studies incorporating prospective cost analyses are needed. This paper discusses the evidence to support hospital-at-home as an alternative and complementary model of health care particularly for older people.
居家医院计划正日益成为全球范围内提供医疗保健的一种流行方式。不同的计划在其所照顾的患者类型以及所提供治疗的强度和复杂性方面存在差异。尽管自1961年以来就已存在，但很少有随机对照研究来确定它们作为标准医院护理替代方案的有效性。此外，一些研究得出了相互矛盾的结果。尽管有越来越多的证据表明它们能产生令人满意的患者治疗效果，并且患者和护理人员也能接受，但它们的成本效益仍不确定。需要进一步开展纳入前瞻性成本分析的随机对照研究。本文讨论了支持居家医院作为一种替代和补充医疗保健模式，特别是针对老年人的证据。
