Berkman B, Bedell D, Parker E, McCarthy L, Rosenbaum C
Massachusetts General Hospital, Institute of Health Professions, Boston 02114.
Soc Work Health Care. 1988;13(3):35-50. doi: 10.1300/J010v13n03_04.
The effectiveness of hospital social work preadmission screening and assessment is compared with postadmission screening and assessment. Outcome variables include length of stay, readmission rates, posthospital home management, resource attainment, and satisfaction with hospital services. The patients screened postadmission were assessed within forty-eight hours of admission, while the patients screened preadmission were assessed one to two weeks prior to admission. Telephone follow-up was conducted with both groups. Preadmission patients reported better home management and attained more resources. Patients' satisfaction with hospital care was inversely related to the need for more resources in the post-hospital period.
对医院社会工作入院前筛查与评估和入院后筛查与评估的有效性进行了比较。结果变量包括住院时间、再入院率、出院后家庭管理、资源获取以及对医院服务的满意度。入院后筛查的患者在入院后48小时内接受评估，而入院前筛查的患者在入院前一至两周接受评估。对两组患者均进行了电话随访。入院前筛查的患者报告称家庭管理更好且获取了更多资源。患者对医院护理的满意度与出院后对更多资源的需求呈负相关。
