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首页> 美国卫生研究院文献>BMC Health Services Research >Intermediate care: for better or worse? Process evaluation of an intermediate care model between a university hospital and a residential home
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Intermediate care: for better or worse? Process evaluation of an intermediate care model between a university hospital and a residential home

机译：中级护理：好还是坏？大学医院与住宅之间的中间护理模型的过程评估

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BackgroundIntermediate care was developed in order to bridge acute, primary and social care, primarily for elderly persons with complex care needs. Such bridging initiatives are intended to reduce hospital stays and improve continuity of care. Although many models assume positive effects, it is often ambiguous what the benefits are and whether they can be transferred to other settings. This is due to the heterogeneity of intermediate care models and the variety of collaborating partners that set up such models. Quantitative evaluation captures only a limited series of generic structure, process and outcome parameters. More detailed information is needed to assess the dynamics of intermediate care delivery, and to find ways to improve the quality of care. Against this background, the functioning of a low intensity early discharge model of intermediate care set up in a residential home for patients released from an Amsterdam university hospital has been evaluated. The aim of this study was to produce knowledge for management to improve quality of care, and to provide more generalisable insights into the accumulated impact of such a model.
机译：背景技术开发中级护理是为了将急诊，初级护理和社会护理联系起来，主要是针对有复杂护理需求的老年人。这种衔接举措旨在减少住院时间并改善护理的连续性。尽管许多模型都具有积极作用，但是通常带来的好处是什么以及它们是否可以转移到其他环境通常是模棱两可的。这是由于中间护理模型的异质性以及建立此类模型的合作伙伴的多样性。定量评估仅捕获有限系列的通用结构，过程和结果参数。需要更详细的信息来评估中间护理服务的动态，并找到改善护理质量的方法。在此背景下，已经对在阿姆斯特丹大学医院释放的患者的住宅中建立的低强度早期出院中间护理模型的功能进行了评估。这项研究的目的是为管理人员提供知识，以提高护理质量，并对这种模型的累积影响提供更广泛的见解。

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