复杂护理干预的剂量和结果
Dawn Wiest1, Qiang Yang, Teagan Kuruna
1Camden Coalition, 800 Cooper St, 7th Floor, Camden, NJ 08102.
对复杂患者的护理管理计划中,更高的干预剂量与90天内更少的再入院病例有关. 衡量患者参与度和干预强度对于有效的项目评估至关重要.
科学领域:
- 医疗保健管理的管理
- 公共卫生 公共卫生
- 医疗保健服务研究 医疗服务研究
背景情况:
- 护理管理计划旨在改善复杂健康和社会需求的患者的治疗结果.
- 评估这些计划的有效性往往需要了解交付的干预措施的强度.
- 患者参与和干预剂量是评估计划影响的关键指标.
研究的目的:
- 检查干预剂量和医院利用率在护理管理计划中的患者之间的关系.
- 突出测量患者参与度和干预剂量在计划评估中的重要性.
主要方法:
- 随机对照试验 (2014-2018) 数据的二次分析.
- 根据累计护理小组工作时间,将393名患者分为低剂量和高剂量组.
- 使用的倾向性得分重权,以比较医院利用结果.
主要成果:
- 高剂量组显示30天 (21.6%对36.6%) 和90天 (41.7%对55.2%) 的再录取率显著较低.
- 两组之间180天再入院率没有统计学上显著的差异 (57.5%对64.9%).
结论:
- 在护理管理中的更高的干预剂量与短期医院再入院的减少有关.
- 医疗复杂性和社会因素可能会影响长期的剂量反应关系.
- 需要进一步的研究来完善复杂的患者护理管理的评估方法.
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