Ashford & St. Peter's Hospital, Guildford Road, Chertsey, Surrey, KT16 0PZ, United Kingdom.
Arch Gerontol Geriatr. 2012 Sep-Oct;55(2):331-7. doi: 10.1016/j.archger.2011.10.014. Epub 2011 Nov 21.
Nursing home residents are often very dependent, very frail and have complex care needs. Effective partnerships between primary and secondary care will be of benefit to these residents. We looked at 1954 admission episodes to our Trust from April 2006 to March 2009 inclusive. 3 nursing homes had the highest number of multiple admissions (≥ 4). Four strategies to reduce hospital admissions were used at these nursing homes for 3 months. An alert was also sent to the geriatrician if one of the residents was admitted so that their discharge from hospital could be expedited. The project was then extended for another 4 months with 6 nursing homes. The results showed that geriatrician input into nursing homes had a significant impact on admissions from nursing homes (χ(2)(2)=6.261, p < 0.05). The second part of the project also showed significant impact on admissions (χ(2)(2) = 12.552, p < 0.05). Furthermore, in both parts of the project the length of stay in hospital for the residents was reduced. Geriatricians working together with co-ordinated multidisciplinary teams are well placed to manage the care needs of frail, elderly care home residents.
养老院的居民通常非常依赖他人，身体非常脆弱，有复杂的护理需求。初级保健和二级保健之间的有效合作将对这些居民有益。我们观察了我们的信托机构从 2006 年 4 月至 2009 年 3 月期间的 1954 例入院病例。有 3 家养老院有最多的多次入院（≥4 次）。在这些养老院，我们使用了 4 种策略来减少住院，为期 3 个月。如果有居民入院，也会向老年病医生发出警报，以便加快他们从医院出院。该项目随后又在另外 6 家养老院延长了 4 个月。结果表明，老年病医生对养老院的投入对养老院的入院人数有显著影响（χ(2)(2)=6.261，p < 0.05）。项目的第二部分也对入院人数有显著影响（χ(2)(2)=12.552，p < 0.05）。此外，在项目的两个部分中，居民在医院的住院时间都缩短了。老年病医生与协调的多学科团队合作，非常适合管理体弱多病的养老院居民的护理需求。
