医疗补助新生儿提前出院的安全性
U R Kotagal1, H D Atherton, R Eshett
1Department of Pediatrics, Children's Hospital Medical Center, and the Institute of Health Policy and Health Services Research, University of Cincinnati, Ohio 45229-3039, USA. uma.kotagal@uc.edu
JAMA
|September 29, 1999
概括
减少医疗补助新生儿住院时间并没有增加再住院率. 这项研究发现,较短的逗留时间与这些婴儿再入院的数量较少相关.
科学领域:
- 新生儿护理 新生儿护理
- 公共卫生政策 公共卫生政策
- 医疗服务研究 医疗服务研究
背景情况:
- 新生儿快速出院令人担忧,特别是在低收入人群中.
- 减少产后停留时间对婴儿健康结果的影响尚未得到充分了解.
研究的目的:
- 调查医疗补助计划注册新生儿短暂住院对再住院率的影响.
- 分析出院后医疗保健的使用情况和医疗保健的区域差异.
主要方法:
- 使用俄俄州医疗补助申请和生命统计数据 (1991-1995) 的回顾性队列研究.
- 包括102,678名满期新生儿,其母亲在分娩后至少30天接受医疗补助.
- 在出院后的7天和14天内检查了再入院.
主要成果:
- 缩短住院时间 (少于1-2天) 显著增加 (21%至59.8%),平均住院时间减少27%.
- 在7天和14天内再住院的比例分别下降了23%和19%.
- 观察到,在出生后14天内,初级保健诊所的比率增加.
结论:
- 俄俄州的全期医疗补助新生儿住院时间的缩短并没有导致立即产后再住院的风险增加.
- 研究结果表明,较短的住院时间可能对这一群体来说是安全的,前提是可获得足够的出院后护理.
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