老年医学：变革剖析
Geriatric medicine: the anatomy of change.
作者信息
Taylor I C, McConnell J G
机构信息
Department of Health for the Elderly, Ulster Hospital, Dundonald, Belfast.
出版信息
Ulster Med J. 1994 Oct;63(2):162-9.
We have studied workloads and patterns of care in geriatric medicine from 1982 to 1993 in the Ulster Hospital. There was a 137% rise in admissions, a 16% reduction in domiciliary visits and a 31% increase in ward assessments. The continuing care waiting list fell to zero in 1993. The number of new outpatients rose by a factor of 8.6 between 1987 and 1993. Between 1990 and 1993 there was an increased admission rate from nursing homes and of patients suffering from respiratory system diseases. Mortality rates fell from 27.8% in 1982 to 19.3% in 1990 and to 12.1% in 1993. Mean age and sex ratios remained unchanged over the years while the average length of stay halved from 43.3 to 22.6 days between 1990 and 1993. 81% of admissions in 1993 were emergencies. Care of the elderly in hospital and the interface with general medicine are changing.
我们研究了1982年至1993年阿尔斯特医院老年医学的工作量和护理模式。住院人数增长了137%，家访次数减少了16%，病房评估增加了31%。1993年，持续护理等候名单降至零。1987年至1993年期间，新门诊患者数量增长了8.6倍。1990年至1993年期间，疗养院患者和呼吸系统疾病患者的住院率有所上升。死亡率从1982年的27.8%降至1990年的19.3%，并在1993年降至12.1%。多年来，平均年龄和性别比例保持不变，而1990年至1993年期间，平均住院时间从43.3天减半至22.6天。1993年81%的住院患者为急诊患者。医院中老年人的护理以及与普通医学的衔接正在发生变化。
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