通用诊所与英格兰急症医院的垂直整合:快速影响评估
Manbinder Sidhu1, Catherine L Saunders2, Charlotte Davies3
1University of Birmingham, Health Services Management Centre, Birmingham, UK.
Health and social care delivery research
|October 15, 2023
概括
医院和初级保健实践的垂直整合显示,医院服务使用率有所减少,但对患者体验的影响很小. 由于证据有限,不建议广泛采用这种方法.
科学领域:
- 医疗保健管理的管理
- 医疗服务研究 医疗服务研究
- 在初级保健整合.
背景情况:
- 垂直整合涉及不同患者途径阶段的组织合并,特别是管理初级保健实践的急性医院.
- 关于该模型对医疗保健利用和患者体验的影响的证据有限.
研究的目的:
- 评估垂直整合对医院服务利用,服务提供和患者体验的影响.
- 为了确定多种长期疾病的患者是否会经历不同的结果.
主要方法:
- 进行了快速的混合方法评估,包括对NHS信任报告,全国患者体验调查和医院服务使用数据的分析.
- 通过重点小组和在三个案例研究地点与工作人员和患者的采访,收集了定性数据.
主要成果:
- 垂直整合与事故和急诊人员,门诊人员和急诊住院人员的适度和暂时减少有关.
- 没有观察到对外围护理敏感条件的住院时间或住院住院时间的显著影响.
- 患者和工作人员的采访表明,虽然可以改善服务,但患有多种长期疾病的患者仍然面临着导航护理的挑战,连续性减少.
结论:
- 纵向整合可能会导致医院服务使用量略有下降,但对患者体验的影响很小.
- 目前的证据不支持这种整合模式的广泛实施.
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