一个临床分类框架,用于识别具有高度社会和医疗需求的人: COMPLEXedex-SDH
Suzanne S Sullivan1, Kathryn M Ledwin1, Sharon Hewner1
1Department of Nursing, University at Buffalo, State University of New York, Buffalo, NY.
Nursing outlook
|September 20, 2023
概括
这项研究开发了COMPLEXedex-SDH算法,整合了护理专业知识,以识别急需患者并改善健康公平. 该算法有效地将人群分类为有针对性的干预措施,减少医疗保健准入方面的偏见.
科学领域:
- 医疗保健服务研究 医疗服务研究
- 护理信息学 护理信息学
- 精确的健康 精确的健康
背景情况:
- 确定患者需求的第一代算法,由于获得护理的不平等,造成了偏见.
- 精确的健康策略对于减轻偏见和促进健康公平至关重要.
研究的目的:
- 将护理专业知识纳入定义高需求患者.
- 创建针对性护理干预的临床分类算法.
主要方法:
- 进行了两阶段的回顾性描述性队列研究.
- 该算法使用2019年的数据 (19,20,848名成年人) 构建,并使用2021年的数据 (15,99,176名成年人) 验证.
主要成果:
- COMPLEXedex-SDH算法确定了不同的患者群体:交叉队列需求 (10.9%),高需求个体 (17.7%),低最佳医疗利用率 (13.8%),高需求个体低最佳利用率 (6.2%).
结论:
- COMPLEXedex-SDH算法有助于识别急需患者,并优化基于价值的护理.
- 它可以创建可操作的队列,以优先推广,旨在提高健康公平性和患者成果.
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