Knowelden J, Westlake L, Wright K G, Clarke S J
Department of Public Health Medicine, University of Sheffield Medical School.
J Public Health Med. 1991 Aug;13(3):182-8. doi: 10.1093/oxfordjournals.pubmed.a042616.
An evaluation of the Peterborough Hospital at Home scheme was undertaken to examine the complementary roles of Hospital at Home, hospital ward and the District Nursing Service. The evaluation involved two surveys; the first was a retrospective study of records of patients admitted to one of the three care settings during 1983. The second survey was a prospective study of Hospital at Home patients in 1985 with the index diagnoses of malignant neoplasms, cerebrovascular accidents and post-operative patients discharged early from hospital. In 1985, 284 patients were admitted to Hospital at Home, and of these the largest group (73 patients) were terminally ill cancer patients. Hospital at Home provided care for more severely ill patients than those normally looked after by the District Nursing Service, and comparable in severity and outcome to those in hospital. There was an emphasis on terminal care by Hospital at Home which would make it appear to be an enhancement to the usual domiciliary nursing services available, as, for the majority of the cancer patients cared for by Hospital at Home, admission to hospital would probably not be sought.
对彼得伯勒居家医院计划进行了评估，以研究居家医院、医院病房和地区护理服务的互补作用。该评估包括两项调查；第一项是对1983年期间在三种护理环境之一入院的患者记录进行的回顾性研究。第二项调查是对1985年居家医院患者进行的前瞻性研究，这些患者的索引诊断为恶性肿瘤、脑血管意外和早期出院的术后患者。1985年，有284名患者入住居家医院，其中最大的一组（73名患者）是晚期癌症患者。居家医院为病情比地区护理服务通常照顾的患者更严重的患者提供护理，在严重程度和结果方面与住院患者相当。居家医院强调临终关怀，这似乎是对现有的常规家庭护理服务的一种加强，因为对于大多数由居家医院护理的癌症患者来说，可能不会寻求住院治疗。
