对患有关节骨折的老年患者的团队管理
G A Pryor1, J W Myles, D R Williams
1Orthopaedic Department, Peterborough District Hospital.
Lancet (London, England)
|February 20, 1988
概括
一个联合医院和社区团队成功地管理了关节骨折患者,使得他们能够更早地出院. 这种方法减少了住院时间,并通过在家进行护理,节省了住院病人的病床时间.
科学领域:
- 老年病的医生 老年病的医生
- 整形外科 整形外科 整形外科
- 医疗保健服务研究 医疗服务研究
背景情况:
- 骨折是老年人住院的常见原因之一.
- 传统的管理往往导致长时间住院和大量利用医疗保健资源.
研究的目的:
- 评估联合医院和社区团队方法对管理关节骨折患者的有效性.
- 评估这种综合护理模式对住院时间和资源利用的影响.
主要方法:
- 一项前性研究涉及200名连续关节骨折患者,由多学科团队管理.
- 实施医院在家护理服务,用于出院后的护理.
- 结果与传统管理患者的历史对照数据的比较.
主要成果:
- 超过一半的患者比平时早出院.
- 在家出院的患者的平均住院时间从22.0天减少到14.6天.
- 在倡议实施的前10个月内,已节省了733个住院病人的病床日.
结论:
- 综合医院和社区团队管理为关节骨折患者提供更早的出院机会.
- 家庭医院模式减少了对密集护理的需求,并节省了医院的资源.
- 这种方法证明了优化骨折患者护理和降低医疗保健成本的成功策略.
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