DO GERIATRIC PROGRAMS DECREASE LONG-TERM USE OF ACUTE-CARE BEDS

被引:6
作者
BRYMER, CD
KOHM, CA
NAGLIE, G
SHEKTERWOLFSON, L
ZORZITTO, ML
OROURKE, K
KIRKLAND, JL
机构
[1] UNIV WESTERN ONTARIO,DEPT MED,LONDON,ON N6A 3K7,CANADA
[2] TORONTO HOSP,DEPT SOCIAL WORK,TORONTO,ON M5T 2S8,CANADA
[3] TORONTO HOSP,DEPT MED,TORONTO,ON M5T 2S8,CANADA
[4] TORONTO HOSP,DEPT CLIN EPIDEMIOL,TORONTO,ON M5T 2S8,CANADA
[5] QUEEN ELIZABETH HOSP,GERIATR SERV,TORONTO,ON,CANADA
[6] HUMBER MEM HOSP,DEPT MED,TORONTO,ON,CANADA
关键词
D O I
10.1111/j.1532-5415.1995.tb05531.x
中图分类号
R592 [老年病学]; C [社会科学总论];
学科分类号
03 ; 0303 ; 100203 ;
摘要
OBJECTIVE: To determine whether the introduction of coordinated geriatric and discharge planning services at teaching and community hospitals in Toronto has changed the number of beds occupied by patients awaiting transfer to long-term care institutions. DESIGN: Retrospective review of social work records for the period 1985-1992. SETTING: Two tertiary and four primary acute care hospitals in Metropolitan Toronto. PARTICIPANTS: Hospitals were matched for location, acuity, and teaching affiliation. MAIN OUTCOME MEASURES: The numbers of beds occupied by patients awaiting transfer to nursing homes or chronic care hospitals were noted. RESULTS: In those teaching and community hospitals that had introduced coordinated geriatric and discharge planning services, there was a reduction in the percentage of beds occupied by patients awaiting long-term care placement(average -51%), whereas in hospitals without geriatric services, the percentage of beds occupied by patients awaiting longterm care placement increased (average +25%) (P = .05 by Fisher's exact method, 95% confidence limit odds ratio 0, .9999). CONCLUSION: The introduction of coordinated geriatric and discharge planning services was associated with a decrease in the percentage of beds occupied by patients awaiting long-term care in both teaching and community hospitals.
引用
收藏
页码:885 / 889
页数:5
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