A programme for comprehensive treatment of chronic hospital patients at the Rio de Janeiro State University Hospital: I - The diagnostic phase
Autor(a) principal: | |
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Data de Publicação: | 1977 |
Outros Autores: | , , , , , |
Tipo de documento: | Artigo |
Idioma: | por |
Título da fonte: | Revista de Saúde Pública |
Texto Completo: | https://www.revistas.usp.br/rsp/article/view/22827 |
Resumo: | A study on redundant days of hospitalization based on the concept of nursing care dependence showed that among the 99 patients studied 68 demonstrated redundant days during their hospitalization of 25 or more days. This implies a wastage of 1094 bed-days. In another study a group of 102 patients and redundancy was identified in 60 patients. There was no significant statistical difference between the redundant and non-redundant patients according to the social and demographic variables studies. Five diseases were found to be more frequent among the redundant patients: respiratory diseases, fractures, arterial hypertension with or without cardiac failure, cerebral strokes and hepatic cirrhosis. Considering the grea wastage of material and financial resources and the risks of a long-term hospitalization for patients, it is recommended that experimental home care programmes for a more reasonable treatment of chronic patients should be tested. |
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A programme for comprehensive treatment of chronic hospital patients at the Rio de Janeiro State University Hospital: I - The diagnostic phase Programa de tratamento integral de pacientes crônicos do Hospital de Clinicas da Universidade do Estado do Rio de Janeiro: I - Etapa diagnóstica HospitalizationChronic diseasesHospitalsTeaching^i2^sUniversity of the State of Rio de JaneiroBraHospitalizaçãoDoenças crônicasHospital de Clínicas^i1^sUniversidade do Estado do Rio de Jane A study on redundant days of hospitalization based on the concept of nursing care dependence showed that among the 99 patients studied 68 demonstrated redundant days during their hospitalization of 25 or more days. This implies a wastage of 1094 bed-days. In another study a group of 102 patients and redundancy was identified in 60 patients. There was no significant statistical difference between the redundant and non-redundant patients according to the social and demographic variables studies. Five diseases were found to be more frequent among the redundant patients: respiratory diseases, fractures, arterial hypertension with or without cardiac failure, cerebral strokes and hepatic cirrhosis. Considering the grea wastage of material and financial resources and the risks of a long-term hospitalization for patients, it is recommended that experimental home care programmes for a more reasonable treatment of chronic patients should be tested. O estudo sobre redundância de hospitalização, baseado no conceito de dependência aos cuidados de enfermagem, evidenciou que, em 99 pacientes que permaneceram 25 ou mais dias internados, foram redundantes em algum momento da internação, representando um desperdício de 1094 leitos-dia (30,17% do total de leitos-dia consumidos por este grupo de pacientes) . Estudou-se, também, um grupo de 102 pacientes com acompanhados durante uma semana, identificando-se 60 pacientes (59%) com hospitalização desnecessária. Não se verificou diferenças estatisticamente significativas entre os grupos de pacientes redundantes e não redundantes em relação às variáveis sócio-demográficas estudadas. As condições que contribuíram com maior número de dias de redundância foram neoplasias, doenças do aparelho respiratório (pneumopatia complicada e doença pulmonar obstrutiva crônica), fraturas, hipertensão arterial com ou sem insuficiência cardíaca, acidente vascular cerebral e cirrose hepática. Face a magnitude do desperdício de recursos decorrentes da hospitalização desnecessária e riscos para o paciente da permanência prolongada no hospital, é recomendada a implantação de programas experimentais para tratamento domiciliar de pacientes crônicos. Universidade de São Paulo. Faculdade de Saúde Pública1977-03-01info:eu-repo/semantics/articleinfo:eu-repo/semantics/publishedVersionapplication/pdfhttps://www.revistas.usp.br/rsp/article/view/2282710.1590/S0034-89101977000100011Revista de Saúde Pública; Vol. 11 No. 1 (1977); 119-133 Revista de Saúde Pública; Vol. 11 Núm. 1 (1977); 119-133 Revista de Saúde Pública; v. 11 n. 1 (1977); 119-133 1518-87870034-8910reponame:Revista de Saúde Públicainstname:Universidade de São Paulo (USP)instacron:USPporhttps://www.revistas.usp.br/rsp/article/view/22827/24851Copyright (c) 2017 Revista de Saúde Públicainfo:eu-repo/semantics/openAccessCordeiro, Hésio de AlbuquerqueKoifman, RosalinaNeves, José Roberto Marinho dasOliveira, Cecília Maria deGoulart, Marly VillelaLazzaro, NeydeLandmann, Jayme2012-05-28T13:59:24Zoai:revistas.usp.br:article/22827Revistahttps://www.revistas.usp.br/rsp/indexONGhttps://www.revistas.usp.br/rsp/oairevsp@org.usp.br||revsp1@usp.br1518-87870034-8910opendoar:2012-05-28T13:59:24Revista de Saúde Pública - Universidade de São Paulo (USP)false |
dc.title.none.fl_str_mv |
A programme for comprehensive treatment of chronic hospital patients at the Rio de Janeiro State University Hospital: I - The diagnostic phase Programa de tratamento integral de pacientes crônicos do Hospital de Clinicas da Universidade do Estado do Rio de Janeiro: I - Etapa diagnóstica |
title |
A programme for comprehensive treatment of chronic hospital patients at the Rio de Janeiro State University Hospital: I - The diagnostic phase |
spellingShingle |
A programme for comprehensive treatment of chronic hospital patients at the Rio de Janeiro State University Hospital: I - The diagnostic phase Cordeiro, Hésio de Albuquerque Hospitalization Chronic diseases Hospitals Teaching^i2^sUniversity of the State of Rio de Janeiro Bra Hospitalização Doenças crônicas Hospital de Clínicas^i1^sUniversidade do Estado do Rio de Jane |
title_short |
A programme for comprehensive treatment of chronic hospital patients at the Rio de Janeiro State University Hospital: I - The diagnostic phase |
title_full |
A programme for comprehensive treatment of chronic hospital patients at the Rio de Janeiro State University Hospital: I - The diagnostic phase |
title_fullStr |
A programme for comprehensive treatment of chronic hospital patients at the Rio de Janeiro State University Hospital: I - The diagnostic phase |
title_full_unstemmed |
A programme for comprehensive treatment of chronic hospital patients at the Rio de Janeiro State University Hospital: I - The diagnostic phase |
title_sort |
A programme for comprehensive treatment of chronic hospital patients at the Rio de Janeiro State University Hospital: I - The diagnostic phase |
author |
Cordeiro, Hésio de Albuquerque |
author_facet |
Cordeiro, Hésio de Albuquerque Koifman, Rosalina Neves, José Roberto Marinho das Oliveira, Cecília Maria de Goulart, Marly Villela Lazzaro, Neyde Landmann, Jayme |
author_role |
author |
author2 |
Koifman, Rosalina Neves, José Roberto Marinho das Oliveira, Cecília Maria de Goulart, Marly Villela Lazzaro, Neyde Landmann, Jayme |
author2_role |
author author author author author author |
dc.contributor.author.fl_str_mv |
Cordeiro, Hésio de Albuquerque Koifman, Rosalina Neves, José Roberto Marinho das Oliveira, Cecília Maria de Goulart, Marly Villela Lazzaro, Neyde Landmann, Jayme |
dc.subject.por.fl_str_mv |
Hospitalization Chronic diseases Hospitals Teaching^i2^sUniversity of the State of Rio de Janeiro Bra Hospitalização Doenças crônicas Hospital de Clínicas^i1^sUniversidade do Estado do Rio de Jane |
topic |
Hospitalization Chronic diseases Hospitals Teaching^i2^sUniversity of the State of Rio de Janeiro Bra Hospitalização Doenças crônicas Hospital de Clínicas^i1^sUniversidade do Estado do Rio de Jane |
description |
A study on redundant days of hospitalization based on the concept of nursing care dependence showed that among the 99 patients studied 68 demonstrated redundant days during their hospitalization of 25 or more days. This implies a wastage of 1094 bed-days. In another study a group of 102 patients and redundancy was identified in 60 patients. There was no significant statistical difference between the redundant and non-redundant patients according to the social and demographic variables studies. Five diseases were found to be more frequent among the redundant patients: respiratory diseases, fractures, arterial hypertension with or without cardiac failure, cerebral strokes and hepatic cirrhosis. Considering the grea wastage of material and financial resources and the risks of a long-term hospitalization for patients, it is recommended that experimental home care programmes for a more reasonable treatment of chronic patients should be tested. |
publishDate |
1977 |
dc.date.none.fl_str_mv |
1977-03-01 |
dc.type.driver.fl_str_mv |
info:eu-repo/semantics/article info:eu-repo/semantics/publishedVersion |
format |
article |
status_str |
publishedVersion |
dc.identifier.uri.fl_str_mv |
https://www.revistas.usp.br/rsp/article/view/22827 10.1590/S0034-89101977000100011 |
url |
https://www.revistas.usp.br/rsp/article/view/22827 |
identifier_str_mv |
10.1590/S0034-89101977000100011 |
dc.language.iso.fl_str_mv |
por |
language |
por |
dc.relation.none.fl_str_mv |
https://www.revistas.usp.br/rsp/article/view/22827/24851 |
dc.rights.driver.fl_str_mv |
Copyright (c) 2017 Revista de Saúde Pública info:eu-repo/semantics/openAccess |
rights_invalid_str_mv |
Copyright (c) 2017 Revista de Saúde Pública |
eu_rights_str_mv |
openAccess |
dc.format.none.fl_str_mv |
application/pdf |
dc.publisher.none.fl_str_mv |
Universidade de São Paulo. Faculdade de Saúde Pública |
publisher.none.fl_str_mv |
Universidade de São Paulo. Faculdade de Saúde Pública |
dc.source.none.fl_str_mv |
Revista de Saúde Pública; Vol. 11 No. 1 (1977); 119-133 Revista de Saúde Pública; Vol. 11 Núm. 1 (1977); 119-133 Revista de Saúde Pública; v. 11 n. 1 (1977); 119-133 1518-8787 0034-8910 reponame:Revista de Saúde Pública instname:Universidade de São Paulo (USP) instacron:USP |
instname_str |
Universidade de São Paulo (USP) |
instacron_str |
USP |
institution |
USP |
reponame_str |
Revista de Saúde Pública |
collection |
Revista de Saúde Pública |
repository.name.fl_str_mv |
Revista de Saúde Pública - Universidade de São Paulo (USP) |
repository.mail.fl_str_mv |
revsp@org.usp.br||revsp1@usp.br |
_version_ |
1800221769189031936 |