相关实验视频
在不同医院的儿科重收患病率和变异性
Jay G Berry1, Sara L Toomey, Alan M Zaslavsky
1Division of General Pediatrics, Boston Children's Hospital, Harvard Medical School, 300 Longwood Ave, Boston, MA 02115, USA. jay.berry@childrens.harvard.edu
JAMA
|January 24, 2013
概括
儿童重收率在儿童医院之间有很大差异,高率医院的调整后30天重收率比低率医院高28.6%. 这些发现突出了改善儿科护理质量的机会.
科学领域:
- 儿科卫生保健的质量 儿科卫生保健的质量
- 医院再接收研究 医院再接收研究
- 医疗服务研究 医疗服务研究
背景情况:
- 再入院率是医院护理质量的关键绩效指标.
- 了解儿科再入院的变化对于有针对性的质量改善举措至关重要.
研究的目的:
- 评估儿科再入院病例的发生率.
- 量化儿童医院30天儿科再入院率的变化.
主要方法:
- 从2009年7月到2010年6月,分析了72家儿童医院的568,845例儿科住院情况.
- 使用等级回归模型估计调整后的30天再入院率,控制患者的年龄和慢性疾病.
- 医院被分为高或低的再接收率,基于相对于平均值的调整率.
主要成果:
- 住院儿童的整体未经调整的30天再入院率为6.5%.
- 收治率高的医院的调整率比收治率低的医院高28.6% (7.2%对5.6%).
- 对于特定的诊断,观察到显著的变化,高回收医院显示调整率高于17.0%至66.0%.
结论:
- 相当大的6.5%的儿科患者经历了非计划的30天再入院.
- 在不同儿科条件和医疗机构之间,再接收率存在显著差异.
- 这些发现为医院提供了有价值的数据,旨在提高儿科护理的质量并减少再入院.
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