Hebergement medico-social temporaire: alternative a l'hospitalisation de personnes agees? [Temporary medicosocial admission: alternative to hospitalization of elderly persons?]

Détails

ID Serval
serval:BIB_B5464C7BA128
Type
Article: article d'un périodique ou d'un magazine.
Collection
Publications
Institution
Titre
Hebergement medico-social temporaire: alternative a l'hospitalisation de personnes agees? [Temporary medicosocial admission: alternative to hospitalization of elderly persons?]
Périodique
Sozial- und Praventivmedizin
Auteur(s)
Rey-Bellet  P., David  S., Gaille  G., Yersin  B.
ISSN
0303-8408 (Print)
Statut éditorial
Publié
Date de publication
1997
Volume
42
Numéro
1
Pages
11-20
Notes
English Abstract
Journal Article
Résumé
The orientation of elderly patients, temporarily disabled, to acute care beds is inappropriate because of its adverse effects on functional status and its costs. The creation of short-stay units (SSU) in nursing homes provides an alternative to acute care hospitalization. The aim of this retrospective study, involving the first 64 patients oriented to the SSU from the emergency center, was to evaluate this new health care network. The analysis was focused on the rate of appropriate orientation (site of living at four month; subsequent medical events), as well as the functional quality of this health care network. Information were collected from medical records of the 64 patients oriented to SSU and 64 sex- and age-matched patients admitted during the same period, and the opinion of the network's partners. The mean age of patients and controls was 82 years. Four months after admission to the SSU, the orientation was considered appropriate in 58% of the cases (living at home without subsequent hospitalization), doubtful in 8%, and inappropriate in 33%; 27% of patients and 13% of controls were living definitely in nursing homes (p < 0.1). No medical or social characteristics was correlated to inappropriate orientations. In conclusion, the creation of SSU may be considered as an improvement in the care of elderly patients. The main problem of this orientation was the high percentage of patients living permanently in a nursing home four months later. Accurate assessment's tools capable to predict the subsequent decrease of the functional status should be used in the daily practice in order to improve the orientation of elderly patients.
Mots-clé
Aged Aged, 80 and over Cohort Studies *Continuity of Patient Care Female *Health Services for the Aged Hospitalization Humans Length of Stay Male Middle Aged Nursing Homes/utilization Retrospective Studies Skilled Nursing Facilities/*utilization Switzerland
Pubmed
Web of science
Création de la notice
24/01/2008 16:31
Dernière modification de la notice
20/08/2019 15:23
Données d'usage