Schwartz P J, Blumenfield S, Simon E P
Department of Social Work Services, Mount Sinai Medical Center, New York, NY 10029.
Health Soc Work. 1990 May;15(2):152-60. doi: 10.1093/hsw/15.2.152.
With the advent of prospective payment systems and diagnostic related groups, hospitals are under increasing pressure to discharge patients as soon as they are medically ready. Many patients require additional time to recover physically, socially, emotionally, and functionally. The Interim Homecare Program (IHP) provides time-limited intensive home health aide services for elderly patients who are at risk for protracted recovery times or rehospitalization due to incomplete or failed recuperation after hospital discharge. In this article the authors report on a study of data from case records of all IHP patients served during the first year of operation. The study compared the length of stay (LOS) for IHP patients to the estimated LOS that they would have had if IHP services had not been available. The success of IHP in shortening LOS for this high-risk population exceeded projected estimates and expectations.
随着前瞻性支付系统和诊断相关组的出现，医院面临着越来越大的压力，要在患者身体状况允许的情况下尽快让其出院。许多患者需要额外的时间来在身体、社交、情感和功能方面恢复。临时家庭护理计划（IHP）为那些因出院后康复不完全或失败而有延长康复时间或再次住院风险的老年患者提供限时的强化家庭健康护理服务。在本文中，作者报告了一项对IHP运营第一年服务的所有患者病例记录数据的研究。该研究将IHP患者的住院时间（LOS）与如果没有IHP服务他们可能会有的预计住院时间进行了比较。IHP在缩短这一高危人群住院时间方面的成功超出了预计估计和预期。
