资助医院退院到养老院:一个队列研究
Carol L Wilson1, Victoria L Keevil2,3, Claire Goodman4
1Cambridgeshire and Peterborough NHS Foundation Trust, Fulbourn, UK.
Age and ageing
|July 28, 2023
概括
评估出院 (D2A) 模型减少了老年人的住院时间,结果没有恶化. 在实施后,患者被安置在离家更远的养老院.
科学领域:
- 老年学是一门学科.
- 医疗保健服务研究 医疗服务研究
- 公共卫生政策 公共卫生政策
背景情况:
- 优化医院出院是全球卫生优先事项.
- 英国在COVID-19大流行期间实施了出院评估 (D2A) 模式,为患者康复和需求评估提供临时护理家庭安置.
- 这种模式旨在改善患者流动和医院后护理.
研究的目的:
- 在D2A模型实施之前和之后,评估退院到养老院的老年人特征和结果的差异.
- 评估D2A模型对患者康复,再入院率和死亡率的影响.
- 为了识别患者安置模式的任何变化.
主要方法:
- 一项对两组退院到养老院的老年人 (n=244) 的比较研究.
- 数据收集涉及D2A实施前后组的日常收集的医疗记录.
- 用6个月的随访期来跟踪患者的治疗结果.
主要成果:
- 在D2A实施后,平均住院时间显著下降 (29天而不是23天).
- 没有观察到养老院出院人数显著增加. 释放后的生活安排显示出更多私人住宅的趋势 (28%对18%).
- 死亡率和再入院率保持不变;然而,患者被安置在远离其入院地址 (17.3比9.8公里) 的养老院.
结论:
- D2A模型没有导致退院到养老院的老年人出现不良结果.
- 观察到的一个关键好处是减少住院时间.
- 该研究强调了养老院安置的地理距离发生了重大变化.
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