Petersen B M, Wallin G, Samuelsson S M
Kliniken för geriatrik och rehabilitering, Universitetssjukhuset MAS, Malmö.
Tidsskr Nor Laegeforen. 1997 Oct 30;117(26):3804-9.
Even after the Swedish "Adel"-reform in 1992, large Swedish emergency hospitals still have many "bed-blockers" waiting to be discharged for further care by the social services. In Malmö a special ward, run by the social services, was created in 1994 for the purpose of treating, rehabilitating and planning the discharge of "bed-blockers" from the university hospital. The "bed-blockers" treated at this ward during an 18 month period (patient group, n = 223) were compared with a control group of "bed-blockers" (n = 285) who were not admitted to this ward. Although the patients in the patient group seemed to be more sick and handicapped than those in the control group, emergency in-hospital care during a follow-up period of one year was four times greater in the control group than in the patient group. Economic analysis showed that rehabilitation of the patient group was cheap and effective. The study has shown that municipal care of "bed-blockers" needs to be improved and better organised.
即使在1992年瑞典进行了“阿德尔”改革之后，瑞典大型急诊医院仍有许多“床位占用者”等待社会服务部门安排进一步护理并出院。1994年，马尔默设立了一个由社会服务部门管理的特殊病房，用于治疗、康复以及规划大学医院“床位占用者”的出院事宜。将该病房在18个月期间收治的“床位占用者”（患者组，n = 223）与未入住该病房的“床位占用者”对照组（n = 285）进行比较。尽管患者组的患者似乎比对照组的患者病情更重、残疾程度更高，但在一年的随访期内，对照组的急诊住院护理需求却是患者组的四倍。经济分析表明，患者组的康复治疗成本低且效果好。该研究表明，市政部门对“床位占用者”的护理需要改进并进行更好的组织安排。
