综合行为健康在初级保健住院和非住院实践
Kris Pui Kwan Ma1, Brenda L Mollis2, Imara I West3
1Kris Pui Kwan Ma, Department of Family Medicine, University of Washington School of Medicine, Seattle, WA.
Family medicine
|September 11, 2023
概括
在初级保健中,综合行为健康 (BH) 在住院和非住院实践中显示出类似的患者结果和满意度. 这两个环境都需要支持,以加强BH的整合.
科学领域:
- 初级保健研究研究初级保健研究
- 医疗保健服务研究 医疗服务研究
- 行为健康整合行为健康整合
背景情况:
- 综合行为健康 (BH) 是首选的初级保健模式,提高了患者的结果和满意度.
- 关于在住院与非住院的初级保健实践中BH整合水平的数据有限.
- 本研究通过比较BH在这些实践类型中的整合来解决这一差距.
研究的目的:
- 为了比较初级保健住院和非住院实践之间的行为健康整合水平.
- 评估不同实践类型患者健康结果和对护理的满意度的差异.
- 为在初级保健中传播综合性BH的策略提供信息.
主要方法:
- 一个集群随机的实用试验,涉及44个初级保健实践 (18个住院,26个非住院) 和4,007名患有慢性疾病的成年患者.
- 在2018-2019年收集的数据包括BH整合 (实践整合档案),患者健康结果 (PROMIS-29) 和患者满意度 (咨询和关系同情度表).
- 多变量回归分析比较了居民和非居民实践之间的结果.
主要成果:
- 在居住和非居住实践之间,BH整合水平没有发现显著差异.
- 患者的健康结果和对护理的满意度在两种实践类型中都是可比的.
- 住院实践表明与非住院实践相似的BH整合和患者结果.
结论:
- 具有住院计划的初级保健实践表现出与没有住院计划的人相比的BH整合,患者健康结果和满意度.
- 居民和非居民实践都需要有针对性的干预和资源,以克服在实现高水平的BH整合方面的挑战.
- 结果表明,集成的BH模型在居住和非居住环境中同样有效.
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