在心血管疾病的护理过渡:一个单一中心的经验:仍然是一个
Christine Lopez1, Brittany Glassberg1, Alexandra Dembar1
1Icahn School of Medicine at Mount Sinai, New York, NY, USA.
Cardiology in the young
|September 29, 2023
概括
对于患有先天性心脏病 (CHD) 的患者,从儿科到成人护理的成功过渡往往是不成功的. 诸如保险,心血管疾病的严重程度和访问频率等因素影响过渡成功,许多患者失去了随访.
科学领域:
- 心脏病学 心脏病学
- 医疗保健管理的管理
- 公共卫生 公共卫生
背景情况:
- 对患有慢性疾病,特别是先天性心脏病 (CHD) 的患者来说,护理的转变至关重要.
- 确保从儿科到成人机构的护理连续性是管理复杂慢性疾病的一个重大挑战.
- 高等城市护理机构在促进成功的患者过渡时面临着独特的障碍.
研究的目的:
- 确定与心脏病患者护理成功过渡相关的社会,人口和临床因素.
- 描述CHD患者在城市第三级护理环境中过渡的结果.
- 突出这些弱势群体在过渡过程中需要改进的领域.
主要方法:
- 在2013-2014年间观察到的322名患有CHD年龄≥15岁的患者的回顾性图表审查.
- 数据收集包括人口统计,临床变量,保险状况和随访结果 (过渡,继续儿科护理,失去随访).
- 统计分析确定了与成功过渡有显著关联的因素.
主要成果:
- 只有49%的患者成功过渡到成人护理;22%留在儿科护理中,29%的患者失去了随访.
- 与成功过渡相关的关键因素包括心血管疾病的严重程度,医疗保险,除器的存在和儿科心脏病诊所的频率.
- 失去随访的患者中有很大一部分没有保险或有公共保险.
结论:
- 对心血管疾病患者的护理成功过渡是多因素的,并非始终实现.
- 医疗保险状态是成功过渡的关键决定因素.
- 有针对性的干预措施是必要的,以改善过渡过程,并减少心脏病患者的随访损失.
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