Williams E I, Fitton F
Department of General Practice, University of Nottingham.
Br J Gen Pract. 1991 Feb;41(343):72-5.
As part of a study to determine reasons for early unplanned readmission of elderly patients to hospital, the provision of nursing and social services before and after admission was assessed for two groups of patients aged 65 years and over. A random sample of 133 patients who had been readmitted in an emergency and 133 matched controls who had not been readmitted were interviewed. Prior to the first admission the readmitted patients had received more services than the control patients. A substantial number of patients had had some services organized for them before leaving hospital. There was a net increase in the provision of district nursing services for both groups. The readmitted group had significantly more nursing and social services both before and after discharge than the non-readmitted group. The level of district nursing, home help and social work all increased significantly with age. Problems were experienced with services after discharge from hospital. These included: no arrangements, delay in starting services and inadequate services to meet the patient's needs. Guidelines for the provision of nursing and social services after discharge of patients from hospital are suggested.
作为一项旨在确定老年患者早期非计划再次入院原因的研究的一部分，对两组65岁及以上患者入院前后的护理和社会服务提供情况进行了评估。对133名紧急再次入院的患者和133名未再次入院的匹配对照组患者进行了访谈。在首次入院前，再次入院的患者比对照组患者接受了更多服务。相当多的患者在出院前就已为他们安排了一些服务。两组的地区护理服务提供量都有净增加。再次入院组在出院前后接受的护理和社会服务明显多于未再次入院组。地区护理、家政帮助和社会工作的水平都随着年龄的增长而显著提高。出院后服务方面存在问题。这些问题包括：没有安排、服务启动延迟以及服务不足以满足患者需求。建议制定患者出院后护理和社会服务提供的指导方针。
