Boutette Mary, Hoffer Akos, Plant Jennifer, Robert Benoit, Sinden Danielle
1 The Perley and Rideau Veterans' Health Centre, Ottawa, Ontario, Canada.
Healthc Manage Forum. 2018 Jul;31(4):133-136. doi: 10.1177/0840470418774807.
The current health system in Ontario is not designed to meet the needs of frail older adults. This is particularly true for older adults hospitalized due to exacerbation of chronic illness or medical crisis. This article describes the Subacute Care Unit for the Frail Elderly (SAFE) program, one which is designed to serve frail older patients who are at risk of deconditioning or disability associated with prolonged hospitalization but who may safely return home or to a retirement home following up to 4 weeks of subacute care in a restorative environment. The program centres on an intense restorative and integrated care delivery model. The patient population is medically complex, requiring medical supervision and regular adjustment to the care plan to optimize medical status. Individuals are no longer acutely ill and are considered stable or stabilizing. Care and services are designed to improve outcomes for hospitalized frail older adults by proactively addressing the conditions that contribute to alternate level of care before the deconditioning associated with prolonged hospitalization is experienced.
安大略省目前的医疗体系并非为满足体弱老年人的需求而设计。对于因慢性病加重或医疗危机而住院的老年人来说尤其如此。本文介绍了体弱老年人亚急性护理单元（SAFE）项目，该项目旨在为那些因长期住院而有身体机能下降或残疾风险，但在恢复性环境中接受长达4周的亚急性护理后可安全回家或返回养老院的体弱老年患者提供服务。该项目以强化恢复性和综合护理模式为核心。患者群体病情复杂，需要医疗监督并定期调整护理计划以优化医疗状况。这些个体已不再处于急性病状态，被认为病情稳定或正在好转。护理和服务旨在通过主动解决导致在经历与长期住院相关的身体机能下降之前出现替代护理级别的各种状况，来改善住院体弱老年人的治疗效果。
