测量北克的长期护理院的潜在可避免的急症护理转移:一个跨部门研究
Deniz Cetin-Sahin1,2, Mark Karanofsky1,3, Greta G Cummings4
1Department of Family Medicine, McGill University, Montreal, QC.
Canadian geriatrics journal : CGJ
|September 4, 2023
概括
可能可以避免的急诊室转移 (PAEDT) 比长期护理院的住院治疗 (PAH) 更频繁. 监测PAEDT对于提高质量和制定减少这些转移的干预措施至关重要.
科学领域:
- 老年学是一门学科.
- 医疗保健的质量 医疗保健的质量
- 公共卫生 公共卫生
背景情况:
- 可能可以避免的急诊室转移 (PAEDT) 和住院 (PAH) 是长期护理 (LTC) 设施的关键质量指标.
- 在北克评估这些指标,可以了解区域医疗保健供应情况.
研究的目的:
- 测量来自北克省LTC家庭的PAEDT和PAH的比例.
- 将这些北克的比例与加拿大其他地区的国家数据进行比较.
主要方法:
- 采用了重复的横截面研究设计,分析了2017年4月至2019年3月的数据.
- 从MedUrge数据库中提取了从七个北克LTC家庭到三级医院的居民转移.
- 根据主要诊断,使用已发表的定义来对PAEDT和PAH进行分类,并与加拿大卫生信息研究所的数据进行比较.
主要成果:
- 在1,233个转移中,有36.3%被认为是可能避免的.
- 潜在可避免的急诊室转移 (PAEDT) 占转移的22.8%,只有1.9%是潜在可避免的住院 (PAH),11.6%是两者兼而有之.
- 呼吸短促是最常见的转移原因,肺炎是"PAEDT和PAH"类别的主要诊断. 北克的PAEDT和PAH比例与全国平均值相当.
结论:
- 可能可以避免的急诊室转移 (PAEDT) 发生的频率明显高于可能可以避免的住院治疗 (PAH).
- 监测PAEDT对于长期护理的质量保证至关重要.
- 研究结果表明,长期护理层面的干预措施有可能减少这些可以避免的转移.
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