A new model for medical care to multi-admitted patients

被引：12

作者：

Antiñolo, FG ^{[1
]}

Camacho, EG ^{[1
]}

Conde, ED ^{[1
]}

Sánchez, JV ^{[1
]}

Martín, LM ^{[1
]}

Alonso, RL ^{[1
]}

机构：

[1] Area Hosp Valme, Hosp El Tomillar, Med Interna Serv, Seville 41700, Spain

来源：

REVISTA CLINICA ESPANOLA | 2002年 / 202卷 / 04期

关键词：

re-admission; chronic disease; chronically ill patient; hospital chronic disease; intervention studies;

D O I：

10.1016/S0014-2565(02)71025-4

中图分类号：

R5 [内科学];

学科分类号：

1002 [临床医学]; 100201 [内科学];

摘要：

Background and objective. Patients with chronic conditions are often readmitted to hospital. A study was designed to improve health care to these patients. Patients and methods. Patients attended at the Internal Medicine Department of a hospital area who were admitted to hospital at least three times in a year were included in the study. Within a prospective study, patients were attended by means of specific consultation with care upon request and telephone care, with the possibility of programmed admission. Results. Patients were followed for 32 months, with a 45% decrease in the admission rate, 50% in visits to the Emergency Department, and 26% in hospital stay days. Conclusions. The proposed care model decrease the attending needs for these patients.

引用

页码：187 / 196

页数：10

共 63 条

[1]

ABERGWISTEDT A, 1995, PSYCHIATR SERV, V46, P1263

[2]

PATTERNS OF EXPENDITURES AMONG HIGH UTILIZERS OF MEDICAL-CARE SERVICES - THE EXPERIENCE OF MEDICARE BENEFICIARIES FROM 1974 TO 1977 [J].

ANDERSON, G ;

KNICKMAN, JR .

MEDICAL CARE, 1984, 22 (02) :143-149

[3]

Aranaz Andres J M, 1996, Med Clin (Barc), V106, P182

[4]

THE ASSOCIATION BETWEEN THE QUALITY OF INPATIENT CARE AND EARLY READMISSION [J].

ASHTON, CM ;

KUYKENDALL, DH ;

JOHNSON, ML ;

WRAY, NP ;

WU, L .

ANNALS OF INTERNAL MEDICINE, 1995, 122 (06) :415-421

[5]

Balanzo Fernandez X, 1989, Med Clin (Barc), V92, P86

[6]

BONFILL X, 1993, MED CLIN BARC S, V41, P9

[7]

BOTEJARA A, 1995, 7 C SOC AND MED FAM, P27

[8]

SCREENING ELDERS FOR RISK OF HOSPITAL ADMISSION [J].

BOULT, C ;

DOWD, B ;

MCCAFFREY, D ;

BOULT, L ;

HERNANDEZ, R ;

KRULEWITCH, H .

JOURNAL OF THE AMERICAN GERIATRICS SOCIETY, 1993, 41 (08) :811-817

[9]

Cabanes Argudo M, 1996, An Med Interna, V13, P322

[10]

Castells X, 1996, MED CLIN-BARCELONA, V107, P566

← 1 2 3 4 5 6 7 →