挪威体质医院的老年高成本患者:对患者特征的基于登记的研究
Morten Lønhaug-Næss1, Monika Dybdahl Jakobsen2,3, Bodil Hansen Blix2,4
1Department of Health and Care Sciences, Faculty of Health Sciences, UiT The Arctic University of Norway, Tromso, Norway morten.loenhaug.naess@uit.no.
BMJ open
|October 4, 2023
概括
挪威医院的高成本老年患者往往是男性,主要诊断群体表明他们有复杂的健康需求. 教育程度较低和90岁以上的人与成本较低有关,这表明资源配置与患者需求保持一致.
科学领域:
- 卫生经济学 卫生经济学
- 老年医学 老年医学
- 医疗保健管理的管理
背景情况:
- 医院资源的很大一部分被一小部分患者消耗,特别是老年人.
- 老年人经常面临更高的意外入院率,长时间住院和再入院率.
研究的目的:
- 识别未计划住院的老年患者的个人和临床特征.
- 为了在挪威医院中比较高成本和低成本的老年患者群体之间的这些特征.
主要方法:
- 一项观察性,横截面研究,利用挪威体质医院的国家注册数据.
- 分析了2019年2,111,738名老年挪威患者 (≥65岁) 的数据,这些患者在2019年有过计划外的医院接触.
- 使用双变量和逻辑回归分析,比较前10%的最高成本患者 (n=21,179) 与成本较低的患者.
主要成果:
- 男性性别 (OR=1.25) 和特定的主要诊断组 (OR=3.50) 与高成本密切相关.
- 90岁以上的患者 (OR=0.47) 和拥有高等教育的人 (OR=0.74) 不太可能承担高成本.
- 死亡状态 (OR=4.13) 是与高医疗保健支出相关的重要临床因素.
结论:
- 患者的特点,如主要诊断群体和较低的教育水平,导致老年人医疗保健成本较高.
- 调查结果表明,挪威医院有效地分配资源,优先考虑有最大医疗需求的患者.
相关概念视频
Secondary Healthcare System
1.5K
Secondary healthcare is offered by a specialist, generally in hospitals or clinics for patients referred by primary healthcare providers. It occurs when a person has an illness or injury that requires specific medical care. Secondary care is often referred to as acute care. Secondary care can range from uncomplicated care to repair a minor laceration or treat a strep throat infection to more complicated emergent care, such as treating a head injury sustained in an automobile accident. Whatever...
1.5K
Hospitals-I
862
Hospitals offer medical and surgical care to the sick and injured, along with accommodation while they recover. At the same time, they also provide outpatient, emergency, psychiatric, and rehabilitation services to meet various community needs. In addition to providing medical care, hospitals also act as hubs for medical research and training. Hospitals use clinical procedures and evidence-based practice standards to deliver patient care. To deliver safe and efficient care, a nurse must stay up...
862
Tertiary Healthcare System
1.8K
Specialized care provided over an extended period is called tertiary care. Usually, a primary or secondary care physician will refer a patient to tertiary care. A patient's maximum physical and mental function is restored in tertiary care, which is caused due to the impact of a chronic illness or condition. Tertiary care aims to achieve the highest level of functioning possible while managing chronic illness. For example, a patient who falls and fractures their hip will need secondary care...
1.8K
Documentation in Long-Term and Home Healthcare Setting
902
Documentation in long-term care facilities and home healthcare settings is crucial for ensuring continuous, coordinated, and comprehensive care for patients. Each setting has its specific documentation processes and tools:
Long-Term Care Facilities
Long-Term Care Facilities
902
Hospitals-II
793
Hospitals provide inpatient and outpatient services. Inpatient services provide care to patients that stay in the hospital for an extended period, ranging from days to months. Examples of inpatient services include intensive care units, hospital wards, or surgeries. Outpatient services provide care to patients who come to a hospital for a diagnostic or treatment but do not stay overnight —for example, diagnostic tests, surgical procedures, or health education.
Nurses that work in...
Nurses that work in...
793
Restorative Care
2.0K
Restorative care is provided once a patient has been discharged from a healthcare facility and requires additional services. The additional services include home care, rehabilitation programs, and extended care. Restorative care centers help the patient regain their previous level of functioning or acquire a new level of functioning due to the incapacitating effects of a disease or a disability. It aims to assist patients in enhancing their quality of life by encouraging independence,...
2.0K


