Hicks B, Raisz H, Segal J, Doherty N
Am J Public Health. 1981 Sep;71(9):991-1003. doi: 10.2105/ajph.71.9.991.
Triage is a model project designed to overcome the organizational and financial barriers inhibiting the provision of appropriate care to the elderly. Teams made up of a nurse clinician and a social worker performed assessment, service coordination, and monitoring functions. Services arranged by the teams were financed through a series of waivers on the use of the Medicare Trust Fund. Three hundred and seven Triage clients were followed and compared to a group of 195 elderly in a two year quasi-experimental study of functioning status outcomes, use of services, and health care costs. Triage clients had slightly better mental functioning outcomes than comparison clients; results of physical and social functioning outcomes were inconclusive. Both service utilization and costs were somewhat higher for Triage clients; the proportional difference in utilization was greater than the proportional difference in costs.
分流是一个旨在克服阻碍为老年人提供适当护理的组织和财务障碍的示范项目。由一名护士临床医生和一名社会工作者组成的团队履行评估、服务协调和监测职能。团队安排的服务通过一系列对医疗保险信托基金使用的豁免来提供资金。在一项为期两年的关于功能状态结果、服务使用情况和医疗保健成本的准实验研究中，对307名分流客户进行了跟踪，并与一组195名老年人进行了比较。分流客户的心理功能结果略好于对照客户；身体和社会功能结果的结果尚无定论。分流客户的服务利用率和成本都略高；利用率的比例差异大于成本的比例差异。
