Dalby D M, Williams J I, Hodnett E, Rush J
St. Joseph's Community Health Centre, Hamilton, ON.
Can J Public Health. 1996 Mar-Apr;87(2):90-4.
Two Ontario sites were involved in the evaluation of an obstetrical discharge program. Before program implementation a group of eligible women were enrolled as the preprogram control group (n = 542). During the program, eligible women who agreed to early discharge (ED) became the ED group (n = 319), and those opting not to go home early but consenting to participate in the evaluation became the concurrent group (n = 456). All groups were mailed a self-administered postpartum questionnaire. On demographic characteristics, safety and satisfaction, the ED group was comparable to the concurrent group. Hospital readmission rates did not differ across groups after stratification by site or hospital. Multiple classification analyses revealed a similar pattern for overall satisfaction levels. This unique ED program, which allowed pre- or postnatal enrollment and did not require an initial home assessment, appears to be a safe, effective and flexible approach to obstetrical care.
安大略省的两个地点参与了一项产科出院计划的评估。在该计划实施之前，一组符合条件的女性被纳入计划前对照组（n = 542）。在计划实施期间，同意提前出院（ED）的符合条件的女性成为ED组（n = 319），而那些选择不提前回家但同意参与评估的女性成为同期组（n = 456）。所有组都收到了一份自我填写的产后问卷。在人口统计学特征、安全性和满意度方面，ED组与同期组相当。按地点或医院分层后，各小组的医院再入院率没有差异。多重分类分析显示总体满意度水平呈现类似模式。这个独特的ED计划允许在产前或产后登记，并且不需要进行初始家庭评估，似乎是一种安全、有效且灵活的产科护理方法。
