Bennett J
Br Med J (Clin Res Ed). 1986 Oct 4;293(6551):867-70. doi: 10.1136/bmj.293.6551.867.
Two surveys of private nursing homes, designated geriatric wards, and a sample of social service part III homes were carried out in the Brighton Health District using questionnaires supplemented (in the second survey) by some interviews. The dependency of old people in the private nursing homes was more like that of long stay hospital patients rather than that of residents in social services homes. In the private nursing homes, however, a smaller proportion of patients were in the medium to heavy nursing category (178 (31%) compared with 158 (63%) in the hospital long stay wards) and a larger proportion in the heavy nursing category (170 (30%) compared with 44 (17%) in the long stay wards). Of the patients in private nursing homes, 401 (82%) were local residents, 488 (86%) were long stay, and 459 (88%) were women; their mean age was 88 years. Two thirds of the patients were over 80. There were no significant differences between the private nursing homes and the wards in nursing workloads or staffing, except for a slightly higher provision of state registered nurses in the private sector. In the private nursing homes 348 (63%) of the patients had fees paid by private funds, 26 (5%) were in contract beds paid for by the National Health Service, and 176 (32%) were subsidized by the Department of Health and Social Security. Private nursing homes make a substantial contribution to the care of the elderly in the Brighton Health District, and the health authority should develop a more active partnership with this sector.
在布莱顿健康区，我们对私立养老院、指定老年病房以及社会服务第三部分机构的样本进行了两项调查，采用问卷调查的方式（在第二项调查中辅以一些访谈）。私立养老院中老年人的依赖程度更类似于长期住院患者，而非社会服务机构中的居民。然而，在私立养老院中，处于中度至重度护理类别的患者比例较小（178人（31%），而长期住院病房为158人（63%）），处于重度护理类别的患者比例较大（170人（30%），而长期住院病房为44人（17%））。私立养老院中的患者，401人（82%）是当地居民，488人（86%）长期住院，459人（88%）为女性；他们的平均年龄为88岁。三分之二的患者年龄超过80岁。私立养老院和病房在护理工作量或人员配备方面没有显著差异，只是私立部门国家注册护士的配备略高。在私立养老院中，348名（63%）患者的费用由私人资金支付，26名（5%）在国民保健制度支付费用的合同床位，176名（32%）由卫生和社会保障部补贴。私立养老院对布莱顿健康区老年人的护理做出了重大贡献，卫生当局应与该部门建立更积极的伙伴关系。
