Rapoport J, Judd-Van Eerd M
Mount Holyoke College, South Hadley, MA 01075-1461.
Phys Ther. 1989 Jan;69(1):32-7. doi: 10.1093/ptj/69.1.32.
This study compares the length of hospital stay of a group of patients treated in a community hospital during a period of five-day-a-week physical therapy coverage with the length of stay of a similar patient group treated during a period of seven-day-a-week physical therapy coverage. Comparisons of length of stay were made between the two groups and between subgroups based on diagnosis (stroke or orthopedic disorder) and surgical versus nonsurgical status. Multiple regression analysis was used to control for other factors influencing length of hospital stay. The mean length of stay was shorter for the seven-day-a-week group, and in a few subgroups the difference in length of stay was statistically significant. The results of this study suggest that weekend physical therapy may help reduce length of hospital stay. This finding should interest individuals concerned with the cost-effective use of physical therapy, especially under hospital reimbursement systems such as the Medicare diagnosis-related group.
本研究比较了在每周五天物理治疗覆盖期间在社区医院接受治疗的一组患者的住院时间与在每周七天物理治疗覆盖期间接受治疗的类似患者组的住院时间。基于诊断（中风或骨科疾病）以及手术与非手术状态，对两组之间以及亚组之间的住院时间进行了比较。使用多元回归分析来控制影响住院时间的其他因素。每周七天治疗组的平均住院时间较短，并且在一些亚组中，住院时间的差异具有统计学意义。本研究结果表明，周末物理治疗可能有助于缩短住院时间。这一发现应该会引起关注物理治疗成本效益使用的个人的兴趣，尤其是在诸如医疗保险诊断相关组等医院报销系统下。
