RESUMO
This article presents an analytical examination of the results of the survey conducted by the specialized cardiac hospital for active treatment Pleven, which focused on the quality of life, hospital admission and death rate of patients suffering from heart failure that have already received hospital treatment. Given the specifics of the survey, patients were divided into two groups, one of which received ongoing follow-up care at home, while the other group did not receive this additional service. After twelve months, the results of the two groups were computed and collated according to three criteria - quality of life, subsequent hospital admission and death rate. The reported results of the group receiving ongoing specialized care were better in all three criteria. Based on this, the authors conclude that patients with treated heart failure should receive follow-up care after they have been discharged, as this increases their quality of life and leads to fewer subsequent hospital admissions and death rates.
Assuntos
Insuficiência Cardíaca/terapia , Serviços de Assistência Domiciliar , Pacientes Internados , Qualidade de Vida , Idoso , Humanos , Pessoa de Meia-IdadeRESUMO
The topic of this article is the insufficiently increasing rate of hospital admissions as a crucial factor for increasing hospital expenditures. The article focuses on the particular analysis of issues of induced hospital services demand, low level of effectiveness of the inpatient care system for referring, disproportions of accounted cases compared the need for therapies, patients' distrust toward lower sectors of healthcare, low efficiency of primary outpatient care and specialized outpatient care, lack of control, inadequate organization structure, strategy and improper NHIF regulation. The effective solving of these problems is a crucial term for improvement of the quality of inpatient care.