Hurlimann C, Ungerer C, Berthel M, Kuntzmann F
Observatoire Régional de la Santé d'Alsace, Strasbourg.
Sante Publique. 1997 Dec;9(4):413-23.
The objectives of this study are to analyse in the Alsacian region the needs of people aged 75 years old and over after a stay in hospital. It is also to identify the matching point between the ideal patient discharge and the one feasible in reality. Finally, if no matching point is found, the study examines the reasons for this. This is an exhaustive overview conducted 8th December 1994 in the 96 Alsacian hospitals on all patients aged 75 and over than 10 days in short stay services and over 20 days in medium stay services. Thus 965 questionnaires were analysed. On leaving hospital, 60% of ideal discharge are feasible. This percentage varies according to the kind of discharge. From 18% for the Alzheimer units it reaches 91% for "home stay without arrangement". When the ideal discharge is "long stay", it is often not feasible due to structural causes. On the contrary, when going home is the ideal solution, this is often not feasible due to lack of motivation either from the patient or their family.
本研究的目的是分析阿尔萨斯地区75岁及以上人群住院后的需求。同时,确定理想的患者出院情况与现实可行情况之间的匹配点。最后,如果未找到匹配点,该研究将探究其原因。这是1994年12月8日在阿尔萨斯地区的96家医院对所有75岁及以上且在短期服务中住院超过10天、在中期服务中住院超过20天的患者进行的详尽概述。因此,共分析了965份问卷。出院时,60%的理想出院情况是可行的。该百分比因出院类型而异。从老年痴呆症病房的18%到“无安排的居家”的91%不等。当理想出院情况为“长期住院”时,由于结构原因往往不可行。相反,当回家是理想解决方案时,由于患者或其家人缺乏积极性,这通常也不可行。