Mackeprang B, Bentzon M W
Scand J Soc Med. 1978;6(2):59-62. doi: 10.1177/140349487800600203.
On the basis of an account of the mortality and changes in the need for care over a 2-year period among independent persons and patients requiring care in De Gamles By, Copenhagen, an assessment is made of the movements of patients and the need for care in a model of a geriatric institution. This model includes both purpose-built residential apartments for independent persons and places for dependent patients requiring nursing care. It is shown that the accommodation for the latter patients rapidly becomes occupied by the independent persons from the residential apartments who subsequently need nursing care. Thus, the places in the nursing section are blocked for the admittance of dependent persons living in the community outside. This situation arises when there are equal numbers of both types of accomodation. Where the number of residential apartments is greater than the number of places in the nursing section the care function must be transferred to the residential apartments, and this is regarded as impracticable.
基于对哥本哈根老城区独立生活者以及需要护理的患者在两年期间的死亡率和护理需求变化的记录,对老年机构模式下患者的流动情况和护理需求进行了评估。该模式既包括为独立生活者专门建造的住宅公寓,也包括为需要护理的依赖患者提供的场所。结果表明,后一类患者的住所很快就被来自住宅公寓的、随后需要护理的独立生活者占据。因此,护理区的床位被居住在社区外的依赖者的入住所阻碍。当两种类型的住所数量相等时,就会出现这种情况。当住宅公寓的数量大于护理区的床位数量时,护理功能就必须转移到住宅公寓,而这被认为是不可行的。