Murtaugh C M, Freiman M P
Center for Intramural Research, U.S. Department of Health and Human Services, Rockville, MD 20852.
Gerontologist. 1995 Feb;35(1):35-43. doi: 10.1093/geront/35.1.35.
Little national data have been available to guide the design of programs aimed at reducing the hospitalization of nursing home residents. This article uses the 1987 National Medical Expenditure Survey to identify elderly nursing home residents with an elevated risk of hospitalization and the reasons for and outcomes of residents' hospital stays. Study findings include an elevated risk of hospitalization for residents with one of several different primary diagnoses and a rise in risk as ADL dependence increases. An infection was the main medical reason for roughly 27% of hospital stays. The results suggest possible target groups for two types of programs aimed at reducing hospitalization.
几乎没有国家数据可用于指导旨在减少疗养院居民住院率的项目设计。本文利用1987年国家医疗支出调查来确定住院风险较高的老年疗养院居民以及居民住院的原因和结果。研究结果包括患有几种不同原发性诊断之一的居民住院风险较高，且随着日常生活活动依赖程度的增加风险上升。感染是约27%住院病例的主要医学原因。结果表明了旨在减少住院率的两类项目可能的目标群体。
