Jenkinson M L, Potter J M, Smith M H
Department of Geriatric Medicine, Nunnery Fields Hospital, Canterbury.
J R Coll Physicians Lond. 1992 Jan;26(1):56-60.
A day census of all long-term hospital patients in the Canterbury geriatric service area was carried out in 1984 (when there were 127 beds) and repeated in 1989 (when there were 66 beds). The patients in the 1989 census were more confused and physically more dependent than those in 1984. Comparison with residents in local residential and nursing homes in 1987 shows that a higher proportion of long-term hospital patients had severe mental and physical disability. There is a hard core of patients who are difficult to place outside hospital. This has predictable resource implications and in Canterbury such patients will continue to occupy National Health Service beds as there are no practicable alternatives.
1984年对坎特伯雷老年服务地区所有长期住院患者进行了一次日间普查(当时有127张床位),并于1989年再次进行(当时有66张床位)。1989年普查中的患者比1984年的患者更糊涂,身体上更依赖他人。与1987年当地养老院居民的比较表明,长期住院患者中患有严重精神和身体残疾的比例更高。有一部分核心患者很难安置到医院之外。这会带来可预见的资源问题,在坎特伯雷,由于没有可行的替代方案,这类患者将继续占用国民医疗服务体系的床位。