Steiner A
University of Southampton, Department of Geriatric Medicine, Southampton General Hospital, Tremona Road, Southampton SO16 6YD, UK.
Age Ageing. 2001 Aug;30 Suppl 3:33-9. doi: 10.1093/ageing/30.suppl_3.33.
In this paper, the intermediate care concept will be developed, and a new definition proposed. The evidence on effectiveness will be summarised, focusing on comprehensive geriatric assessment, admission avoidance, nurse-led units for post-acute care, and supported early discharge arrangements. It is a working premise of the paper that, in principle, intermediate care is not only a "good" but also a necessary "thing". However, with the exception of comprehensive assessment, the evidence for many services that fall under the broad rubric of intermediate care is lacking, inconclusive or negative. The implications of this for both practice and research will be discussed.
本文将阐述中间护理概念，并提出一个新定义。将总结有效性方面的证据，重点关注综合老年评估、避免住院、急性后期护理的护士主导单元以及支持性早期出院安排。本文的一个工作前提是，原则上，中间护理不仅是一件“好事”，而且是一件必要的“事”。然而，除了综合评估外，许多属于中间护理广义范畴的服务的证据缺乏、不确定或呈负面。将讨论这对实践和研究的影响。
