Acute Care For Elders Units Produced Shorter Hospital Stays At Lower Cost While Maintaining Patients' Functional Status
Acute Care For Elders Units Produced Shorter Hospital Stays At Lower Cost While Maintaining Patients' Functional Status
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DOI：
10.1377/hlthaff.2012.0142
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发表时间：
2012-06-01
期刊：
影响因子：
9.7
通讯作者：
Landefeld, C. Seth
中科院分区：
文献类型：
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作者：
Barnes, Deborah E.;Palmer, Robert M.;Landefeld, C. Seth
急性护理老年人单位提供加强照顾老年人在专门设计的医院单位。护理由跨学科团队提供，其中包括老年病学家，高级实践护士，社会工作者，药剂师和物理治疗师。在一项纳入1,632名老年患者的随机对照试验中，与常规护理相比，在急性老年护理病房接受护理的患者的住院时间明显缩短-每例患者6.7天，而每例患者7.3天。这种差异降低了住院总费用-每名患者9，477美元，而每名患者10，451美元-同时保持了患者的功能能力，并没有增加住院率。急性护理的老人单位的做法，他们体现的原则，可以提供医院降低成本，同时保持住院老人的护理质量的有效策略。
Acute Care for Elders Units offer enhanced care for older adults in specially designed hospital units. The care is delivered by interdisciplinary teams, which can include geriatricians, advanced practice nurses, social workers, pharmacists, and physical therapists. In a randomized controlled trial of 1,632 elderly patients, length-of-stay was significantly shorter-6.7 days per patient versus 7.3 days per patient-among those receiving care in the Acute Care for Elders Unit compared to usual care. This difference produced lower total inpatient costs-$9,477 per patient versus $10,451 per patient-while maintaining patients' functional abilities and not increasing hospital readmission rates. The practices of Acute Care for Elders Units, and the principles they embody, can provide hospitals with effective strategies for lowering costs while preserving quality of care for hospitalized elders.