Clarfield A M
J Am Geriatr Soc. 1982 Jul;30(7):457-65. doi: 10.1111/j.1532-5415.1982.tb03384.x.
The development and management of a long-term geriatric ward in an acute-care teaching hospital are described. Structure, function, and costs are discussed, and issues of service and medical education are emphasized. A full geriatric team (physician, nurse, social worker, physiotherapist, and occupational therapist) assessed 165 long-term patients in the general wards of the hospital and accepted 98 for admission to the new long-term geriatric ward. Of these, 31 were discharged; 29 per cent went to a facility that encouraged more independent living. Eighteen patients died during their stay in the geriatric ward; autopsies were obtained in 33 per cent--a higher autopsy rate than the average for general hospitals. General hospitals may continue to have large populations of chronically ill patients. This model for a geriatric ward may offer a way of dealing with a difficult situation.
本文描述了一所急症护理教学医院中长期老年病房的发展与管理情况。文中讨论了该病房的结构、功能和成本，并着重强调了服务与医学教育方面的问题。一个完整的老年医学团队（医生、护士、社会工作者、物理治疗师和职业治疗师）对医院普通病房的165名长期患者进行了评估，并接收了98名患者入住新建的长期老年病房。其中，31名患者出院；29%的患者前往了更有利于独立生活的机构。18名患者在老年病房住院期间死亡；尸检率为33%，高于综合医院的平均水平。综合医院可能会持续接收大量慢性病患者。这种老年病房模式或许为应对这一棘手情况提供了一种方法。
