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[老年精神科疗养院入院等候名单:洞察存在问题的等候时间]

[Waiting lists for psychogeriatric nursing home admissions: insight into the problematic waiting times].

作者信息

Meiland F J, Danse J A, Wendte J F, Kegel J M, Gunning-Schepers L J

机构信息

Academisch Medisch Centrum, Universiteit van Amsterdam.

出版信息

Tijdschr Gerontol Geriatr. 1998 Dec;29(6):285-91.

PMID:9894326
Abstract

In this article the waiting list for psychogeriatric nursing home care has been described for a large town in the Randstad (Netherlands). A literature study on psychogeriatric waiting lists was conducted; in a qualitative research project the procedure for admission on the waiting list was studied; and in a files study the characteristics of patients on the waiting lists, the waiting times and factors influencing waiting time have been studied. During the research period (1991) 111 patients were admitted to a waiting list, including 8 patients for whom admission was considered to be very urgent. These highly urgent patients were all mildly demented and had a mean waiting time of nine days. Almost half of the patients who were considered 'normally urgent' were moderately demented. The normally urgent patients had a mean waiting time of fourteen weeks. Hospitalized patients waiting for admission to a nursing home, had a lower waiting time than patients with the same urgency who were waiting at home. In comparison to the norms (8 weeks), the mean waiting time was unacceptably long.

摘要

本文描述了荷兰兰斯塔德地区一个大城镇老年精神病护理院护理的等候名单情况。开展了一项关于老年精神病等候名单的文献研究;在一个定性研究项目中,研究了等候名单的入院程序;在一项档案研究中,研究了等候名单上患者的特征、等候时间以及影响等候时间的因素。在研究期间(1991年),111名患者被列入等候名单,其中8名患者的入院被视为非常紧急。这些急需入院的患者均为轻度痴呆,平均等候时间为九天。几乎一半被视为“正常紧急”的患者为中度痴呆。正常紧急的患者平均等候时间为十四周。等待入住护理院的住院患者的等候时间比在家等候的同等紧急程度的患者要短。与标准(8周)相比,平均等候时间长得令人无法接受。

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