Taylor I C, McConnell J G
Department of Health Care for the Elderly, Ulster Hospital, Dundonald, Belfast.
Ulster Med J. 1994 Oct;63(2):185-92.
Patients placed from hospital to nursing or residential homes or to home under the intensive domiciliary care scheme were compared before and after the introduction of 'assessment and care management' on the 1st April 1993. In geriatric medical wards there was a 69% increase in the average length of stay for patients assessed and care managed and a 52% increase in the length of stay for self-funding patients compared with patients placed before the introduction of assessment and care management. Care managed patients discharged on the intensive domiciliary care scheme had a 66% increase in their length of hospital stay compared with care managed patients placed in private nursing homes. In contrast, the length of stay for care managed patients in other hospital wards was half that for geriatric medical wards.
对1993年4月1日引入“评估与护理管理”前后从医院转至护理院、养老院或接受强化居家护理计划的患者进行了比较。在老年医学病房，接受评估与护理管理的患者平均住院时间增加了69%，自费患者的住院时间与引入评估与护理管理之前相比增加了52%。与安置在私立养老院的接受护理管理的患者相比，通过强化居家护理计划出院的接受护理管理的患者住院时间增加了66%。相比之下，其他医院病房中接受护理管理的患者住院时间仅为老年医学病房患者的一半。
