Author/Editor		Peternelj, Andreja; Šorli, Jurij
Title		Neakutna obravnava - nepogrešljiv del v celostni zdravstveni oskrbi
Translated title		Independent non-acute care - indispensable part in complete health
Type		članek
Source		Zdrav Vestn
Vol. and No.		Letnik 73, št. 10
Publication year		2004
Volume		str. 743-8
Language		slo
Abstract		First experience with organisation and operation of nurse-led intermediate care department in Slovenia is presented. Organisation of independent non-acute care department led to 5% shortening in average length of stay in acute care and 16% decrease in rehospitalization rate. Majority (61.9%) of the patients admitted to the intermediate care department were discharged to their homes, 10.9% to homes for aged people, 7% to other institutional care facilities or departments for long term care, and 9.6% died. After discharge 43% of the patients were independent, 23% managed with some help, and 34% were totaly dependent from help by others. By adaptive programmes of training a success was made by involving next kins and guardians in care for the patients at home. Better economy was achieved by lowering over-head and diagnostic costs (23% of average acute - care department diagnostic cost).
Summary		Prikazane so prve slovenske izkušnje z organizacijo in delovanjem negovalnega oddelka, ki ga vodi diplomirana medicinska sestra. S premeščanjem bolnikov po končani akutni obravnavi na negovalni oddelek se je skrajšala ležalna doba na akutnem oddelku za 5% in stopnja ponovne hospitalizacije za 16%. Z negovalnega oddelka je odšlo 61,9% bolnikov neposredno domov, v domove starejših občanov je bilo sprejetih 10,9%, v druge ustanove in enote za podaljšano zdravljenje 7%, umrlo je 9,6% bolnikov. Od odpuščenih je bilo 43% v celoti sposobnih samooskrbe, 23% ob delni pomoči in 34% je ostalo odvisnih od tuje pomoči. S programi usposabljanja smo v oskrbo odpuščenih bolnikov uspeli vključiti svojce in skrbnike. Ekonomski učinek se kaže v stroških negovalnega tima (ni zdravnika) in stroških diagnostike (23% stroškov povprečnega akutnega oddelka).
Descriptors		NURSING SERVICE, HOSPITAL ECONOMICS, NURSING NURSING EVALUATION RESEARCH REHABILITATION NURSING AGED