Dinkel R H, Görtler E, Milenović I
Universität Bamberg.
Soz Praventivmed. 1991;36(2):104-11. doi: 10.1007/BF01846049.
To assume that the length of stay in hospital depends on whether a patient lives alone or not belongs to conventional wisdom in social epidemiology. In the DTI (diagnosis- and therapy) index of Infratest Health Research a randomly selected number of patients of German acute hospitals was asked whether they were living alone or not. Measuring the average length of stay in hospital and the average success of treatment with these data, only a marginal effect of the variable "social situation" remains after correcting for age. The social situation is a very influential variable, however, when considering where patients are released to. A much greater margin of male and female geriatric patients of acute hospitals leave the hospital to go into institutions of long term care and into other hospitals. The social situation proves to be less important within the acute hospital, but to have a severe influence in the process of leaving it.
认为住院时间长短取决于患者是否独居,这属于社会流行病学中的传统观念。在英孚泰健康研究公司的诊断与治疗指数(DTI)中,随机选取了一些德国急症医院的患者,询问他们是否独居。利用这些数据来衡量平均住院时间和平均治疗成效,在校正年龄因素后,“社会状况”变量仅产生微小影响。然而,在考虑患者出院去向时,社会状况却是一个极具影响力的变量。急症医院中,更多的老年男性和女性患者出院后会进入长期护理机构或其他医院。社会状况在急症医院内部似乎不太重要,但在出院过程中却有着严重影响。