Wade D T, Hewer R L
Lancet. 1983 Apr 9;1(8328):807-9. doi: 10.1016/s0140-6736(83)91861-5.
Stroke patients consume nearly one-twentieth of all National Health Service resources, and much of this is attributable to the admission of patients with acute strokes to hospital. However, patients rarely need to be admitted for diagnostic or therapeutic reasons, and rehabilitation given in hospital is sometimes inappropriate. The major reason for admission relates to nursing during the acute illness, yet this could be done at home in more cases than at present. It is suggested that rehabilitation services should be more readily available to patients at home, so that fewer need to be admitted and so that those admitted can return home sooner. This might lead to a more appropriate rehabilitation, less anxiety and depression in the patient and his family, and a more efficient use of limited resources.
中风患者消耗了英国国家医疗服务体系近二十分之一的资源，其中很大一部分归因于急性中风患者入院治疗。然而，患者很少因诊断或治疗原因而需要住院，而且在医院进行的康复治疗有时并不合适。入院的主要原因与急性病期间的护理有关，但在更多情况下，这种护理可以在家里进行，而非像目前这样。建议在家中为患者提供更便捷的康复服务，这样需要住院的患者就会减少，住院患者也能更快回家。这可能会带来更恰当的康复治疗，减轻患者及其家人的焦虑和抑郁，并更有效地利用有限的资源。
