Frølund B
Københavns Amts Sygehus i Glostrup, langtidsmedicinsk afsnit, medicinsk afdeling C.
Ugeskr Laeger. 1991 May 13;153(20):1425-7.
Experience gained from preadmission home visits to elderly persons in their County of Copenhagen during a period of one year is presented. This investigation is prospective and includes all patients referred by their own general practitioners to the Department for Long-Term Medicine in Glostrup Hospital during the period 1.7.1989-31.8.1990. Forty patients were visited in their homes by a geriatric team. Following primary assessment, ten patients could remain in their homes, two patients were referred for outpatient examination, 18 patients to a day hospital and ten patients for admission. By means of rapid intervention, emergency admissions could be avoided in eight patients. Twenty-seven patients were referred by their general practitioners for admission to a residential department but, in just under two thirds of the cases, an admission could be replaced by a less expensive arrangement. All of the patients were satisfied with the home visit and were pleased to avoid admission to a residential department if this was at all possible.
本文介绍了在哥本哈根市对老年人进行入院前家访一年期间所获得的经验。这项调查是前瞻性的,涵盖了1989年7月1日至1990年8月31日期间由其各自的全科医生转诊至格罗斯特鲁普医院长期医学科的所有患者。一个老年医学团队对40名患者进行了家访。经过初步评估,10名患者可以留在家里,2名患者被转诊进行门诊检查,18名患者被转诊至日间医院,10名患者被收治入院。通过快速干预,8名患者避免了紧急入院。27名患者被其全科医生转诊至住院部,但在近三分之二的病例中,住院可被费用较低的安排所取代。所有患者都对家访感到满意,并很高兴如果可能的话能避免入住住院部。