对智利高风险和多病症成年人实施的过渡期护理策略的评估
Teresita Varela1, Paula Zamorano2, Paulina Muñoz1
1Centro de Innovación en Salud ANCORA UC, Pontificia Universidad Católica de Chile, Santiago, Chile.
Value in health regional issues
|August 27, 2023
概括
对患有多种疾病的高风险患者的过渡护理减少了住院时间,增加了初级保健访问. 这一战略在智利是可行的和可持续的,改善了护理连续性.
科学领域:
- 医疗保健服务研究 医疗服务研究
- 患者护理管理的管理.
- 公共卫生干预 公共卫生干预
背景情况:
- 医疗保健连续性的碎片化会对卫生系统的效率和公平性产生负面影响.
- 患有多种疾病的高风险患者需要协调护理以预防并发症.
- 过渡期护理策略旨在弥补弱势群体在护理方面的差距.
研究的目的:
- 评估过渡期护理策略对高风险成年多病症患者住院时间和出院后的随访的影响.
- 描述智利医疗保健系统中过渡护士活动的实施过程.
- 评估过渡期护理干预措施的可行性和可持续性.
主要方法:
- 一项队列研究比较了2017年至2019年间暴露患者的137次住院治疗和未暴露患者的167次住院治疗.
- 数据收集的重点是住院时间长度,初级保健医生咨询和出院后的联系.
- 转换护士的角色和融入临床活动的定性描述.
主要成果:
- 暴露组中观察到住院时间的显著减少.
- 退院后,人们注意到与初级保健医生的咨询增加.
- 过渡护士每月平均管理24次住院治疗,91%的出院患者在7天内联系.
结论:
- 过渡期护理干预措施显示出缓解护理碎片化的巨大潜力.
- 实施的战略在智利医疗保健背景下是可行的和可持续的.
- 该研究提供了详细的干预描述,以支持更广泛的采用和扩展.
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