慈悲社区连接器计划:对医疗保健使用的影响
Samar M Aoun1, Natasha Bear2, Bruce Rumbold3
1School of Medicine, Perron Institute for Neurological and Translational Science, The University of Western Australia, 8 Verdun St, Perth WA 6009, Australia.
Palliative care and social practice
|October 30, 2023
概括
提供息护理的社区志愿者减少了住院和急诊,将护理转向了家庭服务. 这种富有同情心的社区模式提供了显著的医疗保健节省和改善患者的结果.
科学领域:
- 公共卫生 公共卫生
- 抚慰性护理是一种缓解性护理.
- 卫生经济学 卫生经济学
背景情况:
- 公共卫生息护理模式旨在利用社区资产提供综合服务.
- 很少有研究评估这些基于社区的服务模式的成本效益.
研究的目的:
- 评估基于社区的息护理计划对医疗保健利用的影响.
- 评估志愿者为晚期疾病患者提供实际和社会支持的成本效益.
主要方法:
- 控制的前后研究与成本后果分析.
- 在"同情社区连接器"计划 (2020-2022) 中,43名患者.
- 从医疗服务数据中随机选择的172名患者作为对照组.
主要成果:
- 干预组的住院次数 (IRR:0.37),住院日数 (IRR:0.23) 和紧急情况 (IRR:0.56) 显著降低.
- 干预组的门诊接触人数翻了一番 (IRR: 2.07),表明转向社区护理.
- 预计在6个月内为100名患者节省518,701澳元的净储蓄.
结论:
- 以社区为中心的息护理优化了服务,改善了患者的治疗结果,降低了医疗保健成本.
- "富有同情心的社区连接器"计划通过减少住院和再接收,证明了卫生系统的重大收益.
- 对这种模式的投资可以降低卫生部门的支出,同时提高对终身疾病的护理.
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