Freiman M P, Murtaugh C M
Agency for Health Care Policy and Research, Rockville, MD 20852, USA.
Public Health Rep. 1995 Sep-Oct;110(5):546-54; discussion 545.
National estimates are provided, for the first time, of the number of hospitalizations in a year for elderly persons who also experience some nursing home use, and patterns for this interaction are described. In 1987, 816,000 persons were transferred from nursing homes to hospitals, constituting 8.5 percent of all Medicare hospital admissions for persons ages 65 and older. Another 347,000 hospital stays involved people admitted from the community and discharged to a nursing home. The reporting of discharge destination on Medicare hospital bill data in 1987 also is analyzed. It was found that these data may have underreported a nursing home as the destination by between 15 and 20 percent. The magnitude of hospitalizations of nursing home residents suggests that programs aimed at improving nursing home care might have an important impact on total days of hospital care, and that it is important to learn more about the optimal use of expensive hospital care.
首次提供了关于一年中同时使用过疗养院服务的老年人住院人数的全国性估计数据，并描述了这种相互作用的模式。1987年，有81.6万人从疗养院转入医院，占医疗保险计划中65岁及以上人群所有住院人数的8.5%。另外还有34.7万例住院涉及从社区入院并出院后入住疗养院的人群。同时还分析了1987年医疗保险医院账单数据中出院目的地的报告情况。结果发现，这些数据可能少报了15%至20%以疗养院为出院目的地的情况。疗养院居民的住院规模表明，旨在改善疗养院护理的项目可能会对医院护理总天数产生重要影响，并且进一步了解昂贵医院护理的最佳使用情况非常重要。
