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[出院后老年患者家庭随访的效果不确定]

[Uncertain efficiency of follow-up home visits among older patients after hospital discharge].

作者信息

Hendriksen Carsten, Vass Mikkel

机构信息

Afdeling for Sammenhængende Patientforløb, Bispebjerg Hospital, Bispebjerg Bakke 23, 2450 København NV.

出版信息

Ugeskr Laeger. 2014 Jan 27;176(5A):V04130264.

Abstract

Improving the vulnerable hospital discharge process among older people has been in focus for decades. The economic impact and ease of measurement of all-cause hospital readmission rates have questioned whether they are reducible. This review aimed to identify the efficiency of follow-up home visits after hospital discharge by district nurses in coordination with general practice. Six settings in Denmark have been evaluated in different controlled designs. Results are inconsistent and inconclusive due to selection bias and methods chosen. Targeting and management organisation need further research.

摘要

几十年来,改善老年人脆弱的医院出院流程一直是关注焦点。全因医院再入院率的经济影响和易于衡量性引发了对其是否可降低的质疑。本综述旨在确定地区护士与全科医疗协作进行出院后随访家访的效率。丹麦的六个机构已在不同的对照设计中进行了评估。由于选择偏倚和所采用的方法,结果不一致且无定论。目标设定和管理组织需要进一步研究。

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