Patrick H, Roberts N, Hutt R, Hewitt P, Connelly J, Oliver D
Bexley Primary Care Trust, Bexley, London.
Br J Nurs. 2006;15(9):520-3. doi: 10.12968/bjon.2006.15.9.21094.
To assess whether a pilot study conducted in the UK achieved its objective to reduce admissions to hospital and bed days in patients identified as suitable recipients of case management by community matrons.
The Department of Health has advocated the use of nurse-led case management to improve the coordination of care and prevent inappropriate hospital admissions.
66 patients and another 66 controls were identified for the 'Evercare' caseload according to criteria set by United Healthcare. Admissions data for the six months after entry into the study were collected from the hospital information system.
admission rates in both the control and intervention group decreased over time and there was no significant difference in rates between the two groups at six months. There was no demonstrable effect on length of stay either. Users were satisfied with the service and nurses cited several clinical stories implying benefits for individual patients.
评估在英国进行的一项试点研究是否实现了其目标，即减少被社区护士长确定为适合病例管理对象的患者的住院次数和住院天数。
卫生部提倡采用由护士主导的病例管理，以改善护理协调并防止不适当的住院情况。
根据联合医疗保健公司设定的标准，为“Evercare”病例量确定了66名患者和另外66名对照。从医院信息系统收集了进入研究后六个月的入院数据。
对照组和干预组的入院率均随时间下降，六个月时两组的入院率无显著差异。对住院时间也没有明显影响。用户对该服务感到满意，护士列举了几个临床案例，暗示对个别患者有益。
