Victor C R, Vetter N J
Arch Gerontol Geriatr. 1986 Apr;5(1):33-9. doi: 10.1016/0167-4943(86)90005-1.
A random 4% sample of the over 65's discharged from general hospitals throughout Wales was selected from Welsh Office HAA returns. Included within the group were 101 patients admitted for social reasons (ICD code V600 to V6055). Such patients were predominantly very elderly, female and extremely disabled. Typically such patients lived with, and were being cared for, by relatives. The majority of admissions were booked or planned to provide relief to these carers. Geographical variations in the use of such care was demonstrated. Use of domiciliary medical services by these patients was extremely high in contrast to their use of domiciliary social services. Mortality and re-admission rates at 3 months and 12 months after the initial discharge were very high and hospital treatment had little influence upon patients' disability. However, the short mean length of stay suggests that such patients do not 'block beds'.
从威尔士办公室的医院活动分析（HAA）报告中，随机抽取了威尔士综合医院65岁以上出院患者的4%作为样本。该组中有101名因社会原因入院的患者（国际疾病分类代码V600至V6055）。这些患者主要是高龄女性，且极度残疾。通常，这类患者与亲属住在一起，并由亲属照顾。大多数入院是为了让这些照顾者得到缓解而安排或计划的。研究表明了此类护理使用上的地域差异。与他们使用家庭社会服务的情况形成鲜明对比的是，这些患者对家庭医疗服务的使用率极高。首次出院后3个月和12个月的死亡率和再入院率非常高，而且住院治疗对患者的残疾状况影响很小。然而，平均住院时间较短表明这类患者不会“占用床位”。
