Hine C, Wood V A, Taylor S, Charny M
Health Commission for Wiltshire and Bath, Devizes, England.
J R Soc Med. 1996 Dec;89(12):681-7. doi: 10.1177/014107689608901207.
Community hospitals have been supported by the general public and by professionals as one means of increasing choice between local, low technology, care and high technology care at the district general hospital. However, there is no information on the impact of community hospitals on district general hospital use subsequent to NHS and community care reforms. Examination of routinely gathered activity data in the Bath Health District revealed that availability of community hospital beds was associated with reduced use of central inpatient services in the city of Bath. The reduction was most apparent for medical and geriatric beds. Decrease in the use of surgical beds was small. However, total inpatient bed use (including central and community hospital beds) was higher in the population with access to community hospital beds. We conclude that community hospitals offer one option for accessible health care and, as such merit systematic evaluation of costs and benefits. This study presents some evidence that savings could be achieved through improved efficiency.
社区医院得到了公众和专业人士的支持，被视为增加地方低技术护理与地区综合医院高技术护理之间选择的一种方式。然而，在国民健康服务体系（NHS）和社区护理改革之后，没有关于社区医院对地区综合医院使用情况影响的信息。对巴斯健康区常规收集的活动数据进行检查后发现，社区医院床位的可获得性与巴斯市中央住院服务使用量的减少有关。这种减少在医疗和老年病床方面最为明显。外科病床使用量的减少幅度较小。然而，在可使用社区医院床位的人群中，住院总床位数（包括中央和社区医院床位）更高。我们得出结论，社区医院提供了一种可及的医疗保健选择，因此值得对成本和效益进行系统评估。本研究提供了一些证据，表明通过提高效率可以实现节约。
