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THE MEASUREMENT OF SUCCESS

Emphasis was placed upon minimising READMISSION to hospital instead of EARLY DISCHARGE home.

 

An holistic approach to patient care was introduced in a continuing care geriatric unit during 1976-1977. During the previous 10 years of conventional care recordings of deaths and discharges were as shown in the accompanying graph. With the introduction of holistic care a TEN-fold rise in the discharge rate was achieved with very little change in the death rate.

The role of the geriatric unit changed from supporting the sick elderly to promoting the quality of life before discharge from hospital.
Subsequently, the holistic approach was introduced to another geriatric unit of 100 beds. The accompanying graph shows that over a period of 7 years (1978-1985)the admissions increased from 320 per annum to 960 per annum with the re-admission dropping from 30% to 5-6%. This contributed to better use of the resource.

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The approach was cost effective and at the same time lifted the morale of both the patients and the hospital staff.

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