Venner G H, Seelbinder J S
Cardiac Rehabilitation Borgess Medical Center Kalamazoo, MI, USA.
J Cardiovasc Nurs. 1996 Jan;10(2):71-84. doi: 10.1097/00005082-199601000-00007.
Despite an increased incidence of congestive heart failure and frequency of hospital admissions for the Medicare population, there is little information available on improving outcomes for these patients. As changes in health care lead toward capitation, efficient care with limited use of expensive inpatient hospital resources is a necessity. The coordination of three critical components--inpatient, outpatient, and home care--can lead to positive outcomes in terms of functional capacity changes, length of stay, readmission rates, patient self-care knowledge, and patient satisfaction.
尽管医疗保险人群中充血性心力衰竭的发病率有所上升，住院频率也有所增加，但关于改善这些患者预后的信息却很少。随着医疗保健的变革朝着按人头付费的方向发展，在有限使用昂贵的住院医院资源的情况下提供高效护理成为必要。住院、门诊和家庭护理这三个关键组成部分的协调，可以在功能能力变化、住院时间、再入院率、患者自我护理知识和患者满意度方面带来积极的结果。
