在熟练护理设施中接受急症后护理的老年人访问急诊室
Ye Tian1, Kaitlyn Shultz2, Kira Ryskina2,3
1Penn Presbyterian Medical Center, Pulmonary and Critical Care Division, Philadelphia, Pennsylvania, USA.
Journal of hospital medicine
|October 23, 2023
概括
近16.3%的退院到熟练护理设施 (SNF) 的老年人在14天内访问了急诊室 (ED). 大约25.5%的急救诊所访问导致SNF的回归,使Medicare花费2460万美元.
科学领域:
- 老年学是一门学科.
- 医疗保健服务研究 医疗服务研究
- 公共卫生 公共卫生
背景情况:
- 熟练护理设施 (SNF) 是住院后老年人常见的急性后护理目的地.
- 国民医疗基金的关怀旨在提供康复和熟练的护理,以促进安全返回家园.
- 在SNF患者中,再住院和急诊室 (ED) 使用率很高.
研究的目的:
- 确定在医疗保险受益者中紧急诊所 (ED) 访问的全国流行率,这些受益者被释放到SNF.
- 为了估计这些ED访问的医疗保险相关成本.
主要方法:
- 对2019年在SNF出院的Medicare受益者数据的分析.
- 计算了在国家自然资源基金免费处理后14天内接受ED访问的受益人的百分比.
- 确定ED访问的比例,导致在同一天退出SNF和相关的医疗保险费用.
主要成果:
- 在2019年,16% (253,104) 的1,551,703名医疗保险受益者被释放到SNF经历了ED访问在14天内.
- 在这些ED访问中,25.5% (64,472) 导致在同一天向SNF放电.
- 这些同日返回的急救诊所访问医疗保险费用估计为2460万美元.
结论:
- 被送往SNF的老年人中,有很大一部分人使用急救部门的服务,许多人在同一天返回SNF.
- 对于SNF患者来说,ED访问的高患病率和成本凸显了需要改进急性后护理模型的需要.
- 开发将SNF资源与快速诊断能力相结合的护理模型对于减少不必要的ED利用和成本至关重要.
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