Functional status and health service planning

L Snow MSc, BSc(Hons), M Walker MBBS(Syd), FRACGP, Dip RACOG, Dip Paed (UNSW), M Ahern MHP, BA, RN, E O’Brien MHP, BN, Dc Saltman MD, BS, FRACGP, FAFPHM
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引用次数: 2

Abstract Functional status indicators have been proposed as instruments to aid health service planning for patients. This study examines functional status at three points surrounding an acute health episode: admission, discharge and 3 months post discharge from a community hospital. The aim of the study is to determine the most appropriate time to measure functional status to assist health service planning. A longitudinal cohort study was conducted at Manly Hospital, Australia. Four hundred patients aged 65 years and over representing a 10% random sample of all hospital admissions in a 10-month period were interviewed on admission, discharge and 3 months post discharge. Repeated measure multiple analysis of variance identified a decline in functional status between admission and discharge. At 3 months post discharge functional status had improved to levels higher than admission. Functional status assessment at discharge can assist consumers, clinicians, health planners and health insurers to make effective decisions to maximize health outcomes.

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功能状态和健康服务规划
功能状态指标已被提出作为辅助医疗服务计划的工具。本研究考察了急性健康事件的三个时点的功能状态:入院、出院和出院后3个月。该研究的目的是确定最合适的时间来测量功能状态,以协助卫生服务计划。在澳大利亚曼利医院进行了一项纵向队列研究。在入院、出院和出院后3个月对400名65岁及以上的患者进行了访谈,这些患者代表了10个月内所有住院患者的10%随机样本。重复测量多重方差分析确定了入院和出院期间功能状态的下降。出院后3个月,功能状况改善至高于入院水平。出院时的功能状态评估可以帮助消费者、临床医生、健康规划师和健康保险公司做出有效的决策,以最大限度地提高健康结果。
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