在急性中风后的患者中,医院合作伙伴关系和患者结局
Yu-Chin Chen, Yiing-Jenq Chou, Chiu-Mei Yeh
1Institute of Hospital and Health Care Administration, National Yang Ming Chiao Tung University, Room 201, The Medical Building II, No. 155, Section 2, Li-Nong St, Taipei 112, Taiwan, ROC.
The American journal of managed care
|July 31, 2023
概括
急性和后急性护理 (PAC) 医院之间的更强的患者共享关系与中风患者的更好的结果有关. 释放到有更密切联系的PAC设施可以降低再接收和死亡风险.
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
- 患者的治疗结果.
背景情况:
- 急性和后急性护理 (PAC) 提供者之间的有效沟通至关重要.
- 患者共享关系对患者结局的影响尚未得到充分理解.
研究的目的:
- 调查急性和PAC医院之间的强有力的患者共享关系是否会降低中风患者的再入院和死亡风险.
主要方法:
- 基于人口的回顾性队列研究,使用台湾国家健康保险研究数据库.
- 包括1988年从175家原始医院的193家PAC医院出院的中风患者.
- 通过结合力和转诊度分析了伙伴关系的强度;结果包括未计划的再接收和死亡率.
主要成果:
- 在结合强度和患者结果之间观察到剂量反应关系.
- 患者出院到PAC医院与最强的纽带有最低的再入院和死亡风险.
- 医院对之间的集中转诊也与较低的不良结果相关.
结论:
- 增加急性和PAC提供者之间的共享患者和集中转诊联系可能会改善患者的治疗结果.
- 在PAC政策中,优先考虑加强现有的供应商关系,而不是获得更多的合作伙伴.
更多相关视频
相关概念视频
Peripheral Artery Disease III: Interprofessional Care
11
Peripheral Artery Disease (PAD) is characterized by narrowed arteries that diminish blood flow to the extremities. Effective management of PAD requires an interprofessional approach involving various healthcare professionals. The critical aspects of interprofessional care for PAD patients focus on risk factor modification, drug therapy, exercise therapy, nutrition therapy, critical limb ischemia care, and interventional radiology and surgical procedures.The primary treatment goal for PAD...
11
Peripheral Artery Disease V: Postoperative Nursing Management
12
During the postoperative period, it is crucial to focus on maintaining circulation, identifying and managing potential complications, and planning for discharge.Nursing AssessmentVital signs monitoring: Regularly monitor vital signs, including blood pressure, heart rate, respiratory rate, and temperature, to detect early signs of complications such as bleeding and infection.Circulation assessment: Monitor pulses, perform Doppler assessments, and check capillary refill, color, temperature, and...
12
Acute Coronary Syndrome IV: Interprofessional Care
12
IntroductionThe management of Acute Coronary Syndrome (ACS) aims to minimize myocardial damage, preserve myocardial function, and prevent complications.Initial ManagementInpatient management involves continuous cardiac monitoring, preferably in an ICU, focusing on blood pressure, serum sodium, potassium, and creatinine levels, and urine output. Ongoing pharmacologic management is crucial for stabilizing the patient.Supplemental Oxygen: Administer supplemental oxygen if oxygen saturation is...
12
Guidelines for Writing Outcome
2.8K
When developing expected outcomes for a patient care plan, the nurse should adhere to the following recommendations:
Patient outcomes reflect the patient's response to the goal rather than what the nurse aims to achieve. Terminology should be observable and measurable to avoid the reader's interpretation. The desired outcome should be realistic and achievable in the designated care timeframe. Expected outcomes should align with adjunctive therapies. The outcome should enhance care...
Patient outcomes reflect the patient's response to the goal rather than what the nurse aims to achieve. Terminology should be observable and measurable to avoid the reader's interpretation. The desired outcome should be realistic and achievable in the designated care timeframe. Expected outcomes should align with adjunctive therapies. The outcome should enhance care...
2.8K
Documentation in Long-Term and Home Healthcare Setting
923
Documentation in long-term care facilities and home healthcare settings is crucial for ensuring continuous, coordinated, and comprehensive care for patients. Each setting has its specific documentation processes and tools:
Long-Term Care Facilities
Long-Term Care Facilities
923
Venous Thrombosis III: Interprofessional Care
10
Venous thrombosis requires effective prevention and treatment strategies to improve patient outcomes and reduce potential complications.Prevention StrategiesHealthcare providers must prioritize preventing venous thromboembolism (VTE) for all adult patients upon admission. Interventions depend on bleeding and thrombosis risk, medical history, current medications, diagnoses, planned procedures, and patient preferences. Patients on bed rest should change positions every two hours and, if not...
10


