概念化终身患者与目的地患者的对比,以实现最佳的护理服务
Jacob Lambrecht1,2, Mahshid Abir3,4, Kristian Seiler5
1Department of Emergency Medicine, University of Michigan, TC B1-220 1500 E Medical Center Dr, Ann Arbor, MI, 48109, USA.
BMC health services research
|November 2, 2023
概括
学术医疗中心可以优化护理协调,根据其利用模式,区分"临床患者" (初级护理重点) 和"目的地患者" (专业护理重点).
科学领域:
- 医疗保健服务研究 医疗服务研究
- 医疗保健管理的管理
- 患者护理协调与协调
背景情况:
- 学术医疗中心 (AMC) 提供初级和专科护理,需要定制的护理协调策略.
- 患者的护理需求在初级和专科护理接收者之间有很大差异.
- 优化资源配置需要清楚地了解患者护理途径.
研究的目的:
- 在AMC环境中定义"肝脏患者"和"目的地患者".
- 分析这些不同患者群体当前的护理利用模式.
- 确定加强护理协调和资源优化机会.
主要方法:
- 利用了36个月 (FY17-19) 的AMC数据,根据居住地邮政编码对患者进行分类.
- 定义"肝脏患者"是那些至少有一次初级保健访问的患者.
- 定义"目的地患者"是那些没有初级保健访问的人,使用科恩的效果大小进行利用分析.
主要成果:
- 鉴定了35,909名存活患者和744,037名目的地患者.
- 肝脏患者 (平均每位患者) 年龄为72岁) 的门诊诊次数是目的地患者 (平均值) 的3倍. 年龄38岁).
- 目的地患者的急诊室 (ED) 住院率较高,住院时间 (LOS) 差异较大.
结论:
- 在临床,住院和ED利用之间存在显著的差异 Lifer和目的地患者.
- 患者分类促进了量身定制的护理协调策略.
- 终身患者和目的地患者框架使AMC内部的资源分配更有效.
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