緊急治療室に入院した高齢者の退院を遅らせるための新しい患者ナビゲータープログラムの描写
Grace Liu1, Amanda Knoepfli2, Tracey DasGupta3,4
1St. John's Rehab Research Program, Sunnybrook Research Institute, Sunnybrook Health Sciences Centre, Toronto, ON.
Canadian geriatrics journal : CGJ
|August 29, 2025
まとめ
新型患者ナビゲータープログラム (PNP) は高齢者を成功裏に支援し,76%がコミュニティケアに戻りました. このプログラムは 退院が遅れた患者の 病院から自宅への移行を 改善します
科学分野:
- 老人 の 介護
- 医療管理
- 患者の移行サービス
背景:
- カナダの病院の再活性化ケアセンター (RCC) で,新しい患者ナビゲータープログラム (PNP) が実施されました.
- PNPは,高齢者が退院遅延の複雑さを把握し,病院から自宅への移行を改善することを目的とした.
- このプログラムには,RCCに組み込まれたコミュニティー機関の患者ナビゲーターが参加し,出院後の90日間のフォローアップを提供しました.
研究 の 目的:
- 患者ナビゲータープログラム (PNP) を説明します.
- 患者のニーズを詳細に説明する. 社会人口統計, 症例の組み合わせ, 退院の遅延の要因など.
- 医療サービスの範囲を概説し,患者のアウトカム,特に退院後の位置を評価する.
主な方法:
- データ収集にはコホート観察デザインが採用された.
- データは主に患者ナビゲーターの臨床追跡シートと病院の管理システムから収集されました.
- 頻度と記述的統計がデータ分析に使用された.
主要な成果:
- 2021年11月から2022年10月の間に,100人の患者が紹介され,70人が入院しました (平均年齢は81歳,男性39%,女性61%).
- 患者ナビゲーターは平均58日間の追跡調査を行った.
- PNPは患者の76% (n=53) を,自宅や支援施設などの次の治療所に戻すのに成功しました.
結論:
- 患者ナビゲータープログラム (Patient Navigator Program, PNP) は,患者の多くを退院させるのに有効であることが示されました.
- 同様の患者ナビゲーションモデルを検討している医療従事者や意思決定者にとって 価値ある洞察を提供してくれます
- この研究は 病院とコミュニティの連携が 患者の移行プログラムに 役立つ可能性を強調しています
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