Brown A, Caplan G
Post Acute Care Service, Prince of Wales Hospital, Sydney, New South Wales.
Aust J Adv Nurs. 1997 Jun-Aug;14(4):5-11.
This paper describes an outreach nursing service for patients discharged from a Sydney hospital after treatment for an acute episode of chronic airflow limitation (CAL) and people referred for early exacerbation of the condition. In its first two years, 395 patients received the home-based service. The readmission rate of these patients within 28 days of discharge was approximately half that of the hospital's CAL patients in the year before the service was available. The cost of the outreach service in 1994-5 and 1995-6 was 36% and 61% lower respectively than the cost of hospitalizing the estimated 57 patients whose admission or readmission to hospital was avoided because their conditioned was managed at home by the outreach service.
本文描述了一项针对因慢性气流受限（CAL）急性发作接受治疗后从悉尼一家医院出院的患者以及被转诊以早期治疗病情加重的患者的外展护理服务。在其开展的头两年，395名患者接受了这项居家服务。这些患者出院后28天内的再入院率约为该服务推出前一年医院CAL患者再入院率的一半。1994 - 1995年和1995 - 1996年外展服务的成本分别比因外展服务在居家管理病情从而避免入院或再次入院的估计57名患者的住院成本低36%和61%。
