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全关节置换术后的家庭护理服务存在显著差异。

Significant variation exists in home care services following total joint arthroplasty.

作者信息

Mahomed Nizar N, Lau Johnny T C, Lin Manfred Koo Seen, Zdero Radovan, Davey J Roderick

机构信息

Division of Orthopaedic Surgery, Musculoskeletal Health and Arthritis Program, University Health Network, University of Toronto, Toronto, Ontario, Canada.

出版信息

J Rheumatol. 2004 May;31(5):973-5.

Abstract

OBJECTIVE

To determine a preliminary profile of the variation in rehabilitation and home care services for patients with total joint arthroplasty (TJA) in Ontario in 2001.

METHODS

A cross-sectional survey was conducted of directors at the 43 regional community care access centers (CCAC).

RESULTS

One-third (36%) of CCAC had existing care pathways, 54% had defined discharge criteria, and 32% had predetermined the length of home care services. The intensity and frequency of services provided were variable.

CONCLUSION

There is a need to standardize rehabilitation protocols to maintain quality of care and contain costs.

摘要

目的

确定2001年安大略省全关节置换术(TJA)患者康复及家庭护理服务的初步变化情况。

方法

对43个地区社区护理接入中心(CCAC)的主任进行了横断面调查。

结果

三分之一(36%)的CCAC有现有的护理路径,54%有明确的出院标准,32%预先确定了家庭护理服务的时长。所提供服务的强度和频率各不相同。

结论

需要规范康复方案,以维持护理质量并控制成本。

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