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应用于西班牙巴伦西亚自治区布尔哈索特初级保健中心老年人的病例管理方法。

Case management method applied to older adults in the primary care centres in Burjassot (Valencian Region, Spain).

作者信息

Ródenas F, Garcés J, Carretero S, Megia M J

机构信息

"Polibienestar" Research Institute, Universitat de València, Avda. De los Naranjos, s/n, 46022 Valencia, Spain.

出版信息

Eur J Ageing. 2008 Feb 9;5(1):57-66. doi: 10.1007/s10433-008-0073-9. eCollection 2008 Mar.

Abstract

This research determines if the case management for health primary care means changes in: (a) frequency of use of social and health care resources, (b) number of patients visiting a doctor or social worker in the primary care centre, and visits that these professionals receive, (c) number of drugs consumed, (d) urgent hospital admittances which did not need significant intervention and (e) patients' and caregivers' satisfaction towards the social and health care resources received. The data were gathered with a questionnaire elaborated by the Administration and supervised by researchers. One hundred and fifty-two older dependent patients receiving home care in 2004, in a health department of the Valencia Region (Spain) collaborated. Results show: (a) Increase in the use of combined health and social resources in the intervention group; (b) number of patients visiting a practitioner or a social worker is lower in the intervention group, with a significant difference in both cases;

摘要

本研究旨在确定初级卫生保健中的病例管理是否会导致以下方面的变化

(a)社会和卫生保健资源的使用频率;(b)在初级保健中心就诊的医生或社会工作者的患者数量以及这些专业人员接待的就诊次数;(c)药物消费数量;(d)无需重大干预的紧急住院次数;(e)患者及其护理人员对所接受的社会和卫生保健资源的满意度。数据通过由行政部门编制并由研究人员监督的问卷收集。2004年,西班牙巴伦西亚地区一个卫生部门的152名接受家庭护理的老年依赖患者参与了研究。结果显示:(a)干预组中卫生和社会资源的联合使用有所增加;(b)干预组中就诊于从业者或社会工作者的患者数量较少,在这两种情况下均存在显著差异。

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