股関節骨折の高齢患者のチームマネジメント
G A Pryor1, J W Myles, D R Williams
1Orthopaedic Department, Peterborough District Hospital.
Lancet (London, England)
|February 20, 1988
まとめ
病院とコミュニティの共同チームは,ヒップ骨折患者の治療に成功し,早めに退院することができました. このアプローチにより,入院期間が短縮され,在宅介護を通じて入院中の入院日数も節約されました.
科学分野:
- ゲリアトリクス ゲリアトリクス
- 整形外科 整形外科 整形外科
- 医療サービス 研究 医療サービス
背景:
- 股関節骨折は,高齢者の入院の一般的な原因です.
- 伝統的な管理は,しばしば長期の入院と,医療資源の大量利用につながります.
研究 の 目的:
- 股関節骨折患者の管理のための共同病院とコミュニティチームのアプローチの有効性を評価する.
- この統合ケアモデルが入院期間と資源利用に与える影響を評価する.
主な方法:
- 200人の連続した股関節骨折の患者を対象とした前向きな研究で,多学科チームによって管理されました.
- 退院後の介護のための病院在宅看護サービスの実施.
- 従来の治療法で治療された患者の過去の対照データとアウトカムを比較する.
主要な成果:
- 患者の半数以上が通常より早く退院した.
- 退院した患者の平均入院期間は22.0日から14.6日に短縮されました.
- このイニシアチブの最初の10ヶ月で,入院患者の733日間のベッドデイが救われました.
結論:
- 統合された病院とコミュニティのチームマネジメントは,股関節骨折患者の早期退院を促進します.
- 病院在宅のモデルは,集中看護の必要性を減らし,病院のリソースを節約します.
- このアプローチは,股関節骨折患者のケアを最適化し,医療費を削減するための成功した戦略を示しています.
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