Glasby J, Littlechild R
Department of Social Policy and Social Work, University of Birmingham.
Br J Nurs. 2001;10(11):738-41. doi: 10.12968/bjon.2001.10.11.10436.
Although political interest in reducing the number of inappropriate hospital admissions is mounting, methods for researching the rate of inappropriate admissions have several major limitations. Whereas traditional studies have tended to be predominantly subjective, more recent studies using clinical review instruments also have a number of limitations. Chief among these is the failure to consider the potential input of the individual patient. To illustrate some of the possible benefits of patient participation, this article cites findings from a study in Birmingham, which sought to involve individual older people in a research study into emergency hospital admissions.
尽管政界对减少不当住院人数的关注度日益提高,但研究不当住院率的方法存在若干重大局限。传统研究往往主要基于主观判断,而近期使用临床评估工具的研究也存在一些局限性。其中最主要的是未能考虑个体患者的潜在影响因素。为说明患者参与可能带来的一些益处,本文引用了伯明翰一项研究的结果,该研究旨在让老年个体参与到一项关于急诊住院的研究中。