O'Brien T D, Joshi D M, Warren E W
Br Med J. 1973 Nov 3;4(5887):277-80. doi: 10.1136/bmj.4.5887.277.
A geriatric department is described where turnover has more than kept pace with demand over a period of 17 years. The department provides two basic services-a hospital service to the pensionable population in the community, and support to other hospital departments that care for the elderly.Community emphasis is on a high turnover of patients, enabling early contract and treatment. Over the years a fall in the proportion of "chronic" to "acute" beds has occurred and this has been achieved by having the majority of beds in the general hospital, where it is possible to provide a comprehensive medical service. The hospital role has been to prevent overloading acute resources with potential long-stay cases, and this has been possible without compromising our community obligations.
本文描述了一个老年病科，在17年的时间里，该科室的周转量一直超过需求增长。该科室提供两项基本服务：为社区中符合养老金领取条件的人群提供医院服务，以及为其他照顾老年人的医院科室提供支持。社区服务的重点是患者的高周转率，以便能够早期收治和治疗。多年来，“慢性”病床与“急性”病床的比例有所下降，这是通过在综合医院设置大多数病床来实现的，在综合医院可以提供全面的医疗服务。医院的作用是防止急性资源因潜在的长期住院病例而不堪重负，并且在不损害我们社区义务的情况下做到这一点是可行的。
