Scott S N, Gilchrist G, Hooke A, Roy C W
Argyll & Clyde Health Board, Public Health Department, Paisley, UK.
Disabil Rehabil. 1998 May;20(5):179-88. doi: 10.3109/09638289809166079.
A study was undertaken by a Scottish Health Authority to determine future provision of NHS long stay in-patient beds for young physically disabled people (aged < 65), and eligibility criteria for admission to such care. As part of the development of care in the community, only patients requiring specialist medical and nursing care should continue to be placed in NHS care. Resources freed from the resulting closure of NHS beds will be transferred to Social Services to develop alternative packages of care in the community, based on need rather than precedent. Achieving the balance, in terms of the correct level of continuance of NHS long stay care and redeployment of resources, requires careful planning. This study, involving all young physically disabled patients in NHS care in Argyll and Clyde Health Board, combined the assessment of dependency using validated scales (CAPE, FIM, and ERSS), with staff perception of dependency and with clinical criteria developed for a series of balance of care studies in this authority. These clinical criteria indicate the need for specialist medical and nursing care. By examining the relationship between dependency and staff perception, it has been possible to plan long stay provision on a population basis. The criteria for admission have been adopted for local clinical use and form the basis for appeals procedures for patients deemed appropriate for discharge.
苏格兰一家卫生当局开展了一项研究，以确定未来为身体残疾的年轻人（年龄<65岁）提供国民保健制度长期住院床位的情况，以及此类护理的入院资格标准。作为社区护理发展的一部分，只有需要专科医疗和护理的患者才应继续接受国民保健制度的护理。国民保健制度床位关闭后腾出的资源将转移到社会服务部门，以便根据需求而非先例，在社区开发替代护理方案。在国民保健制度长期护理的适当持续水平和资源重新部署方面实现平衡，需要精心规划。这项研究涉及阿盖尔和克莱德卫生委员会接受国民保健制度护理的所有身体残疾的年轻患者，将使用经过验证的量表（CAPE、FIM和ERSS）对依赖性的评估与工作人员对依赖性的认知以及为该当局一系列护理平衡研究制定的临床标准相结合。这些临床标准表明需要专科医疗和护理。通过研究依赖性与工作人员认知之间的关系，得以在人群基础上规划长期护理服务。入院标准已被用于当地临床，并构成了被认为适合出院的患者上诉程序的基础。
