儿童医院的成人住院服务:全国混合方法研究
Rachel J Peterson1,2, Palka Patel1,2, Alexia Torke2
1Departments of Pediatrics.
Hospital pediatrics
|August 14, 2023
概括
儿科医院提供成人住院服务,以填补成人护理缺口,利用双重内科和儿科专业知识. 财务可行性仍然是他们建立和持续运营的关键挑战.
科学领域:
- 儿科医疗保健 儿科医疗保健
- 成人住院服务 成人住院服务
- 医疗保健管理的管理
背景情况:
- 一些儿科机构已经建立了成人住院服务,为住院成年人提供全面的护理.
- 这些服务旨在解决儿科环境中独特的患者和系统需求.
研究的目的:
- 描述儿科医院的成人住院服务.
- 识别这些服务的创建和可持续性的障碍和促进者.
- 了解这些专业服务所解决的患者和系统需求.
主要方法:
- 一个解释性的混合方法研究,结合了电子调查和半结构面试.
- 调查收集了有关机构人口统计,服务特征和患者群体的数据.
- 采访探讨了促进者和障碍,并使用诱导主题分析进行分析.
主要成果:
- 十个美国儿童医院与成人住院服务参与.
- 服务包括经过双重培训的内科和儿科医生.
- 这些机构承认这些服务填补了临床护理的空白,增强了全身护理,患者安全和导航.
结论:
- 儿科机构的成人住院服务已经存在超过15年了.
- 这些服务利用专业的内科和儿科知识来解决护理差距.
- 通过传统的服务费模式来证明投资回报是服务创建和可持续性的障碍.
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