Effects of reduction of acute hospital services on district nursing services : implications for quality assurance.
Two questions of importance to those concerned with maintaining standards and increasing the efficiency of Community Nursing are: (1) does reducing hospital provision alter the number of patients referred for Community Nursing or the type of care provided; (2) are Community Nursing Services directed towards those who most require them?
A base-line study was carried out in the first quarter of 1988, before the closure of one of two general hospitals in an inner London Health Authority and was replicated in the same quarter of 1989, after all acute inpatient services had been transferred to the other hospital.
Comparison of patients discharged before and after closure showed no significant differences in patients' age, sex, proportion living alone, length of stay in hospital, readmissions or deaths within one month of discharge.
Mots-clés Pascal : Europe, Traitement communautaire, Nursing, Assurance qualité, Soin, Homme, Organisation santé, Royaume Uni
Mots-clés Pascal anglais : Europe, Community treatment, Nursing, Quality assurance, Care, Human, Public health organization, United Kingdom
Notice produite par :
Inist-CNRS - Institut de l'Information Scientifique et Technique
Cote : 91-0575817
Code Inist : 002B30B. Création : 199406.