Challis D, Darton R, Johnson L, Stone M, Traske K
Personal Social Services Research Unit, University of Kent, Canterbury.
Age Ageing. 1991 Jul;20(4):245-54. doi: 10.1093/ageing/20.4.245.
This paper provides the main findings of an evaluation of a service to provide alternative care at home for patients receiving long-stay hospital care. Elderly people receiving the service were compared with a group of similar patients in an adjacent health district. The paper presents data on length of time at home and in hospital, changes in quality of life and care of elderly people, and effects upon informal carers for the two groups. Elderly people receiving community-based care had a higher quality of life, and there was no evidence of greater stress upon their carers. The community-based service, although it involved extra costs to the social services department, had lower costs for the health service and society as a whole than long-stay hospital provision. It is concluded that the model of care can effectively integrate the new approach of case management into an existing geriatric multidisciplinary team.
本文提供了一项评估服务的主要结果，该服务旨在为长期住院患者提供居家替代护理。接受该服务的老年人与相邻健康区的一组类似患者进行了比较。本文呈现了两组患者在家和住院的时长数据、老年人生活质量和护理的变化，以及对非正式护理人员的影响。接受社区护理的老年人生活质量更高，且没有证据表明其护理人员承受了更大压力。基于社区的服务虽然给社会服务部门带来了额外成本，但与长期住院服务相比，对卫生服务和整个社会而言成本更低。结论是，这种护理模式可以有效地将病例管理的新方法整合到现有的老年多学科团队中。
