Brymer C D, Kohm C A, Naglie G, Shekter-Wolfson L, Zorzitto M L, O'Rourke K, Kirkland J L
Department of Medicine, University of Western Ontario, Canada.
J Am Geriatr Soc. 1995 Aug;43(8):885-9. doi: 10.1111/j.1532-5415.1995.tb05531.x.
To determine whether the introduction of coordinated geriatric and discharge planning services at teaching and community hospitals in Toronto has changed the number of beds occupied by patients awaiting transfer to long-term care institutions.
Retrospective review of social work records for the period 1985-1992.
Two tertiary and four primary acute care hospitals in Metropolitan Toronto.
Hospitals were matched for location, acuity, and teaching affiliation.
The numbers of beds occupied by patients awaiting transfer to nursing homes or chronic care hospitals were noted.
In those teaching and community hospitals that had introduced coordinated geriatric and discharge planning services, there was a reduction in the percentage of beds occupied by patients awaiting long-term care placement (average-51%), whereas in hospitals without geriatric services, the percentage of beds occupied by patients awaiting long-term care placement increased (average + 25%) (P = .05 by Fisher's exact method, 95% confidence limit odds ratio 0, .9999).
The introduction of coordinated geriatric and discharge planning services was associated with a decrease in the percentage of beds occupied by patients awaiting long-term care in both teaching and community hospitals.
确定在多伦多的教学医院和社区医院引入老年病协调及出院计划服务是否改变了等待转至长期护理机构的患者占用的床位数。
对1985 - 1992年期间的社会工作记录进行回顾性审查。
大多伦多地区的两家三级医院和四家初级急症护理医院。
根据地理位置、急症程度和教学附属关系对医院进行匹配。
记录等待转至疗养院或慢性病护理医院的患者占用的床位数。
在引入老年病协调及出院计划服务的教学医院和社区医院中，等待长期护理安置的患者占用床位的百分比有所下降（平均 - 51%），而在没有老年病服务的医院中，等待长期护理安置的患者占用床位的百分比有所增加（平均 + 25%）（采用Fisher精确检验法，P = 0.05，95%置信区间优势比0，0.9999）。
在教学医院和社区医院引入老年病协调及出院计划服务与等待长期护理的患者占用床位的百分比下降有关。
