Kraus A S, Armstrong M I
Can Med Assoc J. 1977 Oct 8;117(7):747-9.
Home care programs are operating throughout Ontario. In October 1975 pilot-test chronic home care (CHC) programs were added in three areas. Whether the Kingston CHC program prevented or delayed admission to an institution providing long-term care was studied in the 218 patients admitted to the program up to mid-March 1976. Forms were completed for all 218 patients admitted, for the 109 still in the program 6 months later, and for the 131 who had left the program by August 1976. Of the 218 patients 20% had applied for admission to an institution providing long-term care before applying for CHC, and another 22% had seriously considered applying to such an institution. The CHC staff judged that 61% would have needed institutional care without CHC. Only 12% of the 218 patients left the CHC program to enter an institution, only 1 of the 48 patients discharged to self-care at home was considering a move to an institution, and only 2 receiving CHC for 6 months applied to an institution during that time. CHC therefore seems to delay greatly admission to an institution providing long-term care for a substantial group of patients.
安大略省各地都在开展家庭护理项目。1975年10月，在三个地区试点慢性家庭护理（CHC）项目。对截至1976年3月中旬进入该项目的218名患者进行了研究，以确定金斯顿CHC项目是否预防或延迟了患者入住提供长期护理的机构。为所有218名入院患者、6个月后仍在该项目中的109名患者以及到1976年8月已离开该项目的131名患者填写了表格。在218名患者中，20%在申请CHC之前已申请入住提供长期护理的机构，另有22%曾认真考虑申请此类机构。CHC工作人员判断，如果没有CHC，61%的患者将需要机构护理。218名患者中只有12%离开CHC项目去入住机构，48名出院回家自理的患者中只有1名考虑搬入机构，在接受CHC护理6个月的患者中，只有2名在此期间申请入住机构。因此，CHC似乎大大延迟了相当一部分患者入住提供长期护理的机构。
