Bentur N, Eldar R
JDC Brookdale Institute of Gerontology and Adult Human Development in Israel, Jerusalem.
Qual Assur Health Care. 1993 Sep;5(3):237-42. doi: 10.1093/intqhc/5.3.237.
The study assessed the quality of care in 410 geriatric patients admitted for rehabilitation following a hip fracture (53%) or stroke (47%) to two types of inpatient setting: geriatric departments in general hospitals (GDs) and free-standing geriatric hospitals (GHs), 45% and 55% of patients, respectively. The assessment of care was based on two outcome criteria, change in functional status (Barthel Index) and patient destination on discharge. Findings suggest that rehabilitation performed in GHs had some advantage over that in GDs although the cost of stay in GHs is half of that in GDs, and GHs seem to be also more cost-efficient. The finding indicates one way in which assessment of quality contributes to health policy and planning.
该研究评估了410名因髋部骨折（53%）或中风（47%）入院接受康复治疗的老年患者在两种住院环境中的护理质量：综合医院的老年科（GDs）和独立的老年医院（GHs），分别占患者的45%和55%。护理评估基于两个结果标准，即功能状态的变化（Barthel指数）和出院时的患者去向。研究结果表明，尽管GHs的住院费用仅为GDs的一半，但在GHs进行的康复治疗比在GDs更具优势，而且GHs似乎也更具成本效益。这一发现表明了质量评估对卫生政策和规划的一种贡献方式。
