Kane R L, Hammer D, Byrnes N
Med Care. 1977 Feb;15(2):174-80. doi: 10.1097/00005650-197702000-00006.
Data abstracted from transportation company records showed that nursing home patients made an average of 3.6 trips per year for care out of the nursing home. The bulk of this care (55 per cent) was provided at University Hospital with over a quarter provided at private physicians' offices and community health centers. On the basis of chart abstracts over half the patients had been seen within the previous month, but the quality of that visit was open to question. A means of providing cost-effective primary medical care in the nursing homes using a team of nurse practitioner and social worker is proposed.
从运输公司记录中提取的数据显示，疗养院患者平均每年离开疗养院外出就医3.6次。大部分此类护理（55%）在大学医院提供，超过四分之一在私人医生办公室和社区健康中心提供。根据病历摘要，超过一半的患者在前一个月内接受过诊疗，但此次诊疗的质量值得怀疑。有人提议利用一组执业护士和社会工作者在疗养院提供具有成本效益的初级医疗护理。
