Mason W B, Bedwell C L, Vander Zwaag R, Runyan J W
Med Care. 1980 Feb;18(2):147-63.
We evaluated factors leading to the admission of 136 patients to the general medical services of two large metropolitan hospitals. We developed explicit criteria for the contribution of various specific factors to illness prevention and control in these patients. According to these criteria, the illness was found to be preventable in 44 per cent and the illness could have been controlled without admission in 31 per cent if a standard medical regimen had been followed. Social circumstances of individual patients influenced the admission decision in 21 per cent. Lack of medical or community resources or failure to make use of them contributed to 21 per cent of admissions. Alcohol abuse and smoking were factors in 17 per cent and 15 per cent respectively. Compliance played a role in 21 per cent. In 29 per cent of admissions more than one preventable factor was identified. Personal habits and lifestyle, less-than-optimal management or prior illness, social considerations or lack of community resources were factors in 78 per cent of the admissions.
我们评估了导致136名患者入住两家大型都市医院普通医疗科室的因素。我们为各种特定因素对这些患者疾病预防和控制的作用制定了明确标准。根据这些标准，发现44%的疾病是可预防的，并且如果遵循标准医疗方案，31%的疾病本可在不住院的情况下得到控制。个体患者的社会状况影响了21%的入院决策。医疗或社区资源缺乏或未加以利用导致了21%的入院情况。酗酒和吸烟分别占17%和15%。依从性占21%。在29%的入院情况中，发现了不止一个可预防因素。个人习惯和生活方式、管理欠佳或既往疾病、社会因素或社区资源缺乏在78%的入院情况中是影响因素。
