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Hospital care at home: an evaluation of a scheme for orthopaedic patients
Author(s)Elizabeth Rink, Jane Sims, Rebecca Walker
Journal titleHealth & Social Care in the Community, vol 6, no 3, May 1998
Pagespp 158-163
KeywordsHospital at home ; Home nursing ; Orthopaedics ; Discharge ; London.
AnnotationHospital at home schemes generally provide intensive levels of medical, nursing, rehabilitative and social care within the patients' own home. This study aimed to evaluate the practicality and acceptability of the "Going Home Service" (GHS), an early discharge intensive patient support scheme for orthopaedic patients in their own homes in one London borough. Patient outcomes were assessed in terms of health and functional status, and the impact on patients' carers was also assessed. Eighty-seven patients who were successfully discharged from the service were compared with patients readmitted to hospital prior to their discharge from the service, patients who did not take up the service, and patients discharged from the hospital. Findings showed that the majority of patients in all groups were older women, with readmitted patients being significantly older than those successfully discharged. Hospital length of stay was shorter amongst GHS patients, but the total episode of care was greater. Patients and carers were satisfied with the service. At three months post operation, there was some evidence that GHS patients were experiencing less pain than those discharged traditionally. (AKM).
Accession NumberCPA-980821402 A
ClassmarkLD:N: N4: LKB: QKJ: 82L

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