Halevi H S, Benbassat J
Isr J Med Sci. 1982 May;18(5):567-73.
Hospital discharge rates among the total and the aged Jewish populations in Israel from 1954 to 1972 were studied in relation to the main diagnosis. The disease entities studied included selected acute and chronic diseases, and diseases of old age. The hospital discharge rates for acute diseases did not change throughout the period surveyed, but the rates for chronic diseases and for those disorders that are prevalent in old age did increase gradually from 1954-72, and more markedly among the aged than among the total population. These increasing rates may result from higher expectations of modern medicine, reluctance to care for the elderly within the family, and the vacuum in hospital bed occupancy caused by the decline in infectious diseases. In view of the increasing costs of hospital services, we suggest that at least some of the patients with chronic diseases should receive the care they need at home, in nursing homes, or through other less expensive extended-care facilities.
对1954年至1972年期间以色列全体犹太人口和老年犹太人口的医院出院率与主要诊断进行了研究。所研究的疾病实体包括选定的急性和慢性疾病以及老年疾病。在所调查的整个时期内，急性疾病的医院出院率没有变化，但慢性病和老年常见疾病的出院率在1954年至1972年期间逐渐上升，而且在老年人中比在总人口中上升得更明显。这些上升的比率可能是由于对现代医学的更高期望、家庭中照顾老年人的意愿降低以及传染病减少导致医院床位占用率出现空缺。鉴于医院服务成本不断增加，我们建议至少一些慢性病患者应在家中、养老院或通过其他成本较低的长期护理设施获得他们所需的护理。
