Garåsen Helge, Kaasa Stein, Røsstad Tove, Broen Peder
Institutt for samfunnsmedisin, Norges teknisk-naturvitenskapelige universitet, 7491 Trondheim.
Tidsskr Nor Laegeforen. 2005 Jun 2;125(11):1503-5.
The health sector faces major challenges as a consequence of the elderly constituting a growing proportion of the population. Doctors at all levels will need to acquire the skills needed for dealing with patients with multiple and complex conditions, and hospitals will need to be dynamic in dealing with patients with acute and curable diseases as well as with the elderly and chronically ill. There is a considerable professional gap between community care services and services offered by the general hospitals.
In the City of Trondheim, Norway, the community care and hospital services have analysed the challenges they share and what they can do to make the "chain of care" better for those patients that are the most in need of coordinated efforts. One initiative is two short-term units specialising in treatment and care at an intermediary level between ordinary nursing homes and hospitals.
In 2003, 275 patients were admitted to the intermediary care department in Søbstad nursing home, and at Havstein nursing home 79 patients were admitted to its palliative care department. The operating costs in these nursing homes are higher than in traditional units, but far lower than in hospitals. We suggest that these specialised units represent a good solution, professionally as well as financially.
由于老年人在人口中所占比例不断增加，卫生部门面临重大挑战。各级医生需要掌握应对患有多种复杂病症患者所需的技能，医院需要积极应对患有急性可治愈疾病的患者以及老年人和慢性病患者。社区护理服务与综合医院提供的服务之间存在相当大的专业差距。
在挪威特隆赫姆市，社区护理和医院服务部门分析了它们共同面临的挑战，以及为最需要协调努力的患者改善“护理链”可以采取的措施。一项举措是设立两个短期单位，专门提供介于普通疗养院和医院之间的中级治疗和护理服务。
2003年，275名患者入住索布斯特德疗养院的中级护理部，79名患者入住哈夫斯坦疗养院的姑息治疗部。这些疗养院的运营成本高于传统单位，但远低于医院。我们认为，这些专业单位在专业和经济方面都是一个很好的解决方案。
