Li Hong, Morrow-Howell Nancy, Proctor Enola K
School of Social Work, University of Illinois at Urbana-Champaign, 61801, USA.
Health Soc Work. 2004 Nov;29(4):275-85. doi: 10.1093/hsw/29.4.275.
After inpatient hospitalization, many elderly patients with congestive heart failure (CHF) are discharged home and receive post-acute home care from informal (family) caregivers and formal service providers. Hospital readmission rates are high among elderly patients with CHF, and it is thought that use of informal and formal services may reduce hospital readmission during the post-acute period. Using proportional Cox regression analysis, the authors examined the independent and joint effects of post-acute informal and formal services on hospital readmission. No evidence of service impact was found. Rather, hospital readmission was associated with a longer length of CHF history and noncompliance with medication regimes. Research, policy, and practice implications are discussed.
在住院治疗后，许多老年充血性心力衰竭（CHF）患者出院回家，并接受来自非正式（家庭）护理人员和正规服务提供者的急性后期家庭护理。老年CHF患者的医院再入院率很高，人们认为使用非正式和正规服务可能会降低急性后期的医院再入院率。作者使用比例Cox回归分析，研究了急性后期非正式和正规服务对医院再入院的独立和联合影响。未发现服务影响的证据。相反，医院再入院与CHF病史较长和不遵守药物治疗方案有关。讨论了研究、政策和实践意义。
