Kilgore Cliff
Dorset HealthCare community intermediate care service, with Stanley Perkins at home.
Nurs Older People. 2014 Apr;26(3):16-20. doi: 10.7748/nop2014.03.26.3.16.e570.
Intermediate care services are usually intended for frail, older people and those with complex needs. Their aims are to avoid unnecessary hospital admission, help people regain independence after a hospital stay and prevent premature admission to long-term care. Services are time limited and delivered in patients' own homes, community hospitals and sometimes nursing homes. But, as Louise Hunt reports, the second national audit of intermediate care, published late last year, found capacity in England is just half of what is needed. There is also significant variation between localities in capacity outside hospital and in the balance of bed-based, home-based and re-enablement services. Two case studies are presented of intermediate care services where nurses play an important role in achieving positive outcomes for patients and saving the health service money.
中级护理服务通常针对体弱的老年人和有复杂需求的人群。其目的是避免不必要的住院治疗，帮助人们在住院后恢复独立生活能力，并防止过早入住长期护理机构。服务有时间限制，在患者家中、社区医院，有时也在养老院提供。但是，正如路易丝·亨特所报道的，去年年底公布的第二次全国中级护理审计发现，英格兰的服务能力仅为所需能力的一半。医院外的服务能力以及基于床位、家庭和康复服务的平衡在不同地区也存在显著差异。本文介绍了两个中级护理服务的案例研究，在这些案例中，护士在为患者取得积极成果和节省医疗服务费用方面发挥了重要作用。
