Reardon M, Holmon R, Dewhurst G
St. Richard's Hospital, Chichester, West Sussex.
Public Health. 1995 May;109(3):187-90. doi: 10.1016/s0033-3506(05)80051-4.
The objective of this study was to assess the value of domiciliary consultations carried out by two hospital physicians for care of the elderly, using the resulting admission rates as one of the criteria. The action taken by the physicians on domiciliary visits was also studied. Data were collected retrospectively from all the domiciliary consultations done by the two departmental physicians from January 1992 to December 1992. From totals of 184 and 268 domiciliary consultations only 14.1% and 11.2% of patients seen respectively by consultant 1 and consultant 2 were admitted acutely to hospital. Overall, consultant 1 had something to offer in 92.4% of his domiciliary visits and consultant 2 took action in 81.3% of his domiciliary consultations. Most of the GP practices in the area used the service and only one practice was responsible for more than 10% of one consultant's domiciliary consultations. Domiciliary consultations form a useful service in medicine for the elderly and admission rates to hospital from these visits are low.
本研究的目的是评估两位医院医生针对老年人护理进行的上门会诊的价值，将由此产生的住院率作为标准之一。还研究了医生上门访视时采取的行动。数据是从1992年1月至1992年12月两位科室医生进行的所有上门会诊中回顾性收集的。在总共184次和268次上门会诊中，会诊医生1和会诊医生2分别看过的患者中只有14.1%和11.2%被紧急收治入院。总体而言，会诊医生1在其92.4%的上门访视中能提供一些帮助，会诊医生2在其81.3%的上门会诊中采取了行动。该地区的大多数全科医生诊所都使用了这项服务，只有一家诊所的上门会诊占一位会诊医生的比例超过10%。上门会诊在老年医学中形成了一项有用的服务，并且这些访视导致的住院率很低。
