Furst A, Yaphe J
Kupat Holim, Jerusalem.
Harefuah. 1993 Jul;125(1-2):26-9, 62.
Hospitalization data may be used as an indicator of the quality of care in family practice. There were marked differences between hospitalization rates in a rural family practice and the corresponding national rural rates, which raised questions about the reasons for these differences. All 309 hospital admissions recorded between 1987 and 1990 in a rural family practice were then studied to determine the hospital admission pattern. The crude hospitalization rate of this practice over the period studied was 74/1000 person-years at risk. After indirect standardization with the national Jewish rural hospitalization rate, the actual number of hospitalizations for the family practice (309) was 24% less than would have been expected (407) had the national rural rate applied to the family practice population during the study period. The decreases between actual and expected admissions were greater in the infant, adolescent and elderly age-groups. Continuity-of-care by a single provider in the study practice is presented as an important factor in determining the smaller number of practice hospitalizations recorded.
住院数据可用作家庭医疗中医疗质量的一项指标。一家乡村家庭诊所的住院率与相应的全国农村住院率之间存在显著差异，这引发了对这些差异原因的质疑。随后，对1987年至1990年间一家乡村家庭诊所记录的所有309例住院病例进行了研究，以确定住院模式。在所研究期间，该诊所的粗住院率为每1000人年有74例住院风险。在用全国犹太农村住院率进行间接标准化后，该家庭诊所的实际住院人数（309例）比如果在研究期间将全国农村住院率应用于该家庭诊所人口时预期的人数（407例）少24%。在婴儿、青少年和老年年龄组中，实际住院人数与预期住院人数之间的差异更大。研究中的诊所由单一医疗服务提供者提供连续性护理，这被认为是该诊所记录的住院人数较少的一个重要因素。
