Wilkes E, Crowther A G, Greaves C W
Br Med J. 1978 Oct 14;2(6144):1053-6. doi: 10.1136/bmj.2.6144.1053.
A new day hospital has been set up in Sheffield for patients with preterminal cancer and chronic disease. During the first 26 months 197 patients with cancer and 66 chronically sick patients attended. Of the 2701 attendances by patients with cancer, breast cancer accounted for 38%. One hundred and forty of the patients with cancer died, 83% in the terminal-care unit and 12% at home. Ninety per cent of respondents to a questionnaire thought that the support provided was of great importance to both patient and family; and over two-thirds of the patients were said to have benefited from improved control of symptoms. A similar facility could be developed within existing day hospitals without major revenue consequences, and should produce a genuine improvement in care. This study suggests, however, that it would not shorten the terminal stay in hospital.
谢菲尔德新建了一家日间医院，收治晚期癌症患者和慢性病患者。在最初的26个月里，有197名癌症患者和66名慢性病患者前来就诊。在癌症患者的2701次就诊中，乳腺癌患者占38%。140名癌症患者死亡，其中83%在临终关怀病房，12%在家中去世。问卷调查中90%的受访者认为所提供的支持对患者及其家人非常重要；据说超过三分之二的患者症状得到更好控制，从中受益。在现有的日间医院内可以开发类似的设施，且不会产生重大收入影响，还应能真正改善护理。然而，这项研究表明，它不会缩短患者的住院临终时间。
