Bunyan Mel, Ganeshalingam Yogesh, Morgan Ehab, Thompson-Boy Donvé, Wigton Rebekah, Holloway Frank, Tracy Derek K
Oxleas NHS Foundation Trust, London, UK.
King's College London.
BJPsych Bull. 2016 Feb;40(1):24-8. doi: 10.1192/pb.bp.114.049858.
Aims and method A retrospective evaluation was undertaken of the clinical and economic effectiveness of three in-patient rehabilitation units across one London National Health Service trust. Information on admission days and costs 2 years before and 2 years after the rehabilitation placement, length of rehabilitation placement and the discharge pathway was collected on 22 service users. Results There were statistically significant reductions in hospital admission days in the 2 years following rehabilitation compared with the 2 years before, further reflected in significantly lower bed costs. Longer length of rehabilitation placement was correlated with fewer admission days after the placement. A substantial proportion of the sample went into more independent living, some with no further admissions at follow-up. Clinical implications The findings suggest that in-patient rehabilitation is both clinically and cost effective: if benefits are sustained they will offset the cost of the rehabilitation placement.
目的与方法 对伦敦一家国民医疗服务信托机构内三个住院康复单元的临床和经济效益进行了回顾性评估。收集了22名服务对象在康复安置前两年和后两年的住院天数、费用、康复安置时长以及出院途径等信息。结果 与康复前两年相比，康复后两年的住院天数有统计学意义上的显著减少，床位费用也显著降低，进一步体现了这一点。康复安置时长越长，安置后住院天数越少。很大一部分样本进入了更独立的生活状态，一些在随访时没有再次入院。临床意义 研究结果表明，住院康复在临床和成本效益方面均有成效：如果效益得以持续，将抵消康复安置的成本。
