为什么我们在一般医学中评估30天的再入院? 一个历史视角和当代数据
Jonathan James1, Sheryn Tan2, Brandon Stretton2,3
1Flinders University, Adelaide, South Australia, Australia.
Internal medicine journal
|June 6, 2023
概括
减少可预防的再入院对于医疗保健系统至关重要. 检查30天再接收指标揭示了其历史基础和当前医疗保健资金的局限性.
科学领域:
- 医疗保健管理的管理
- 医疗服务研究 医疗服务研究
- 公共卫生 公共卫生
背景情况:
- 可预防的医院再入院会给医疗保健资源带来压力.
- 30天再接收率是一个关键绩效指标.
- 目前的再接收门有财务影响.
研究的目的:
- 分析30天再接收指标的历史基础.
- 了解使用30天再接收作为标准措施的好处和局限性.
- 为了解决当前再接收分析背后的逻辑.
主要方法:
- 关于历史医疗保健政策的文献综述.
- 对再接收指标的演变进行分析.
- 检查30天截止时间的统计基础.
主要成果:
- 30天再接收指标的根源在于历史的医疗保健实践.
- 具体的切断点并不总是基于当前的临床证据.
- 了解该指标的起源可以澄清其潜在的缺陷.
结论:
- 30天再接收指标需要进行批判性评估.
- 历史背景对于解释当前医疗保健绩效指标至关重要.
- 进一步的研究可能会为更有效的再接收减少策略提供信息.
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