Liang M H, Partridge A J, Gall V, Taylor J
Harvard Medical School, Brigham and Women's Hospital, Boston, MA 02115.
Am J Prev Med. 1986 Jan-Feb;2(1):30-4.
Fifty-seven elderly homebound patients with musculoskeletal disability were randomized to a stepped-up outreach rehabilitation program or to usual treatment. Sixty-four percent of patient goals were met, but overall there were no significant differences in functional scores, institutionalization, or quality of life. Twenty-three patients had maintained clinical improvement at the end of the study. The services were achieved at a modest marginal cost.
57名居家的患有肌肉骨骼残疾的老年患者被随机分配到强化外展康复计划组或常规治疗组。64%的患者目标得以实现，但总体而言，功能评分、入住机构情况或生活质量方面并无显著差异。23名患者在研究结束时保持了临床改善。这些服务是以适度的边际成本实现的。
