基于人口的综合护理模式在减少医院活动方面的有效性:中断时间序列分析
Mohammad Hussein Housam Mansour1, Subhash Pokhrel1, Maurice Birnbaum2
1Health Sciences, Brunel University London, Uxbridge, UK.
Integrated healthcare journal
|July 13, 2023
概括
这项研究评估了Hillingdon的综合护理模型 (ICM),发现它减少了住院和急诊. 需要进一步的研究来证实这些发现,考虑到COVID-19流行病等外部因素.
科学领域:
- 医疗保健服务研究 医疗服务研究
- 公共卫生 公共卫生
- 医疗保健管理的管理
背景情况:
- 综合护理模式 (ICM) 旨在提高医疗保健的效率和患者的治疗结果.
- 减少医院活动是全球医疗保健系统的一个关键目标.
- 评估ICM的影响对于基于证据的医疗保健政策至关重要.
研究的目的:
- 在伦敦希林顿区进行综合护理模式 (ICM) 的首次影响评估.
- 评估ICM在减少医院活动,特别是非选择性入院,A&E访问和停留时间的有效性.
- 分析ICM对不同人口子组的影响,包括那些有和没有长期疾病的人.
主要方法:
- 进行了基于人口的综合护理模型 (ICM) 评估.
- 分析了331,330名希林顿居民 (2018年10月 - 2020年7月) 的纵向数据.
- 使用中断时间序列Poisson和负二项式回归来评估医院活动指标的变化.
主要成果:
- 在ICM实施后,观察到非选择性入院 (NEL入院),意外和紧急访问 (A&E) 和停留时间 (LoS) 的逐渐下降.
- 具体的减少是:NEL入院 (RR 0.91),A&E访问 (RR 0.94),以及LoS (RR 0.93).
- 在对有或没有长期疾病的个体的子组分析中发现了类似的积极效应.
结论:
- 希林顿综合护理模型 (ICM) 在减少关键医院活动指标方面表现出有效性.
- 建议进行进一步的研究,以验证这些发现,并考虑潜在的混因素,如COVID-19大流行.
- 该研究提供了关于ICM对医疗保健系统效率的影响的宝贵见解.
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