与常规护理相比,具有标准化审计和反的医生网络是否能为老年患者提供更优质的护理? :一个准实验性研究,使用来自德国巴伐利亚的索赔数据
Iryna Iashchenko1, Ronja Flemming1, Sebastian Franke1
1Department of Sport and Health Sciences, Technical University of Munich, Munich 80992, Germany.
European journal of public health
|August 10, 2023
概括
德国的医生网络 (PN) 并没有减少因门诊护理敏感疾病 (ACSC) 的住院治疗. 虽然PN改善了疾病预防,但护理协调和药物治疗的结果没有确定性.
科学领域:
- 医疗保健管理的管理
- 医疗保健服务研究 医疗服务研究
- 提高质量 提高质量
背景情况:
- 德国正在出现医生网络 (PNs),以加强医疗保健协调和质量.
- 本研究评估了使用标准化审计和反系统对定期护理的PN.
研究的目的:
- 将医生网络 (PNs) 的有效性与审计和反与定期护理进行比较,以防止因门诊护理敏感条件 (ACSCs) 的住院治疗.
- 评估护理过程指标,包括疾病预防,药物治疗和PNS内的护理协调.
主要方法:
- 分析来自德国巴伐利亚的索赔数据,使用倾向性得分匹配.
- 在PNS中与常规护理中匹配的对照组中ACSC患者的比较.
- 检查可能可以避免的住院治疗和关键的护理过程指标.
主要成果:
- 在PNS和常规护理之间,对于ACSC的潜在可避免住院没有显著差异.
- 普国国民的疫苗接种率和参与疾病管理计划的比例更高.
- 在PN患者中,专家访问的次数增加,护理连续性降低,多药和特定药物清单使用率更高.
结论:
- 基于审计和反的PNS在预防ACSC住院治疗方面没有超过常规护理.
- 普尼在疾病预防方面显示出好处,但在护理协调和药物治疗方面产生了不确定的结果.
- 需要进一步的研究来优化提供者协作及其对PN护理质量影响.
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