34 KB339 KB31 KB192920262004Peternelj, AndrejaŠorli, Jurijštevilka:10letnik:73str. 743-748ISSN:1318-0347COBISSID:18574041URN:URN:NBN:SI:doc-OQ8VSXWAslSlovensko zdravniško društvoZdravniški vestnikAgedEconomics, NursingEkonomija zdravstvene negeNegovalne službe bolnišničnenegovalni oddelkiNursing Evaluation ResearchNursing Service, HospitalOrganization And AdministrationRehabilitacijska negaRehabilitation NursingStarostnikiStatistics And Numerical Datazdravstvena negaZdravstvena nega, ocenjevanje, raziskavaNeakutna obravnava - nepogrešljiv del v celostni zdravstveni oskrbi| Independent non-acute care - indispensable part in complete health care|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 thepatients 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% weretotaly dependent from help by others. By adaptive programmes of training asuccess 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)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 negovalnegaoddelka 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% vceloti sposobnih samooskrbe, 23% ob delni pomoči in 34% je ostalo odvisnih odtuje 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)TEXTznanstveno časopisjejournalsSlovenian National E-content AggregatorNational and University Library of SloveniaSlovensko zdravniško društvo