Stark A J, Gutman G M, McCashin B
J Am Geriatr Soc. 1982 Aug;30(8):509-15. doi: 10.1111/j.1532-5415.1982.tb01688.x.
A Long-term Care Program was introduced throughout British Columbia, Canada, on January 1, 1978. This comprehensive community-based program emphasizes home care. A longitudinal study was started of all persons (N = 3518) admitted to the program that year in two health districts, one urban and one semirural. An examination of the relationship between acute-care hospitalization and long-term care (LTC) involved determining (1) the number of admissions (N = 364) to LTC directly from acute-care settings versus the number (N = 1287) entering directly from the community, (2) the number of LTC persons who were hospitalized at least once in the first 12 months after admission to LTC, and (3) the outcomes of these hospitalizations. Persons from the urban area who entered the LTC Program from an acute-care hospital were much more likely to be institutionalized than were those from the semirural area. In the LTC facility group, 388 persons (19.9 per cent) experienced at least one acute-care hospitalization during the first year of the program. More than 50 per cent of those transferred to an acute-care hospital for the first time returned to the same location and level of care afterward; 14 per cent died. These descriptive analyses may be of interest to health-care planners and to those who care for the LTC elderly either at home or in a facility.
1978年1月1日，加拿大不列颠哥伦比亚省推行了一项长期护理计划。这项综合性的社区计划强调居家护理。对当年在两个卫生区（一个城市区和一个半农村区）加入该计划的所有人（N = 3518）展开了一项纵向研究。对急性护理住院与长期护理（LTC）之间的关系进行考察，涉及确定：（1）从急性护理机构直接进入长期护理的入院人数（N = 364）与直接从社区进入的人数（N = 1287）；（2）在进入长期护理后的头12个月内至少住院一次的长期护理人员数量；以及（3）这些住院治疗的结果。从急性护理医院进入长期护理计划的城市地区人员比半农村地区人员更有可能被安置在机构中。在长期护理机构组中，388人（19.9%）在该计划的第一年经历了至少一次急性护理住院治疗。首次转至急性护理医院的人员中，超过50%随后回到了相同的地点并接受相同水平的护理；14%的人死亡。这些描述性分析可能会让医疗保健规划者以及那些在家中或机构中照顾长期护理老年人的人感兴趣。
