基于远程医疗的过渡性护理管理计划,以改善获得护理的机会
Michelle Elsener1, Rachel C Santana Felipes2, Jonathan Sege2
1Transitional Care, White Plains Hospital, White Plains, New York, USA melsener@wphospital.org.
BMJ open quality
|November 8, 2023
概括
一个涉及注册护士 (RN) 的远程医疗计划,在医院出院后72小时内与患者联系,显著降低了30天再入院率. 这种干预措施改善了患者的治疗结果和获得各种疾病护理的机会.
科学领域:
- 医疗保健管理的管理
- 护理实践 护理实践
- 医疗保健服务研究 医疗服务研究
背景情况:
- 从医院到家庭的过渡为患者和家人带来了一个脆弱的时期.
- 有效的护理协调和结构化的出院计划对于改善患者的治疗结果至关重要.
- 高的30天再入院率表明需要加强出院后的支持.
研究的目的:
- 评估注册护士 (RN) 的远程医疗外展计划对30天医院再入院率的影响.
- 评估该计划在整体和特定疾病患者群体中的有效性.
- 改善急性护理退院后的患者参与和获得服务的机会.
主要方法:
- 从2021年5月到2022年12月进行的前性观察研究.
- 退院后72小时内由RN提供远程医疗服务,以评估退院指示,药物获取,后续预约和社会需求.
- 与40个月前研究队列相比,总体和疾病特异性 (CHF,COPD,PNA) 重收率的分析.
主要成果:
- 与研究前队列相比,中位数的再接收率下降了1.2% (11.0%至9.8%).
- 结合性心力衰竭 (CHF),慢性阻塞性肺部疾病 (COPD) 和肺炎 (PNA) 的重新入院率显著降低.
- 在出院后24-48小时内与患者联系的患者重新入院的可能性降低了1.2倍.
结论:
- 多方面的远程医疗方法提高了患者的参与度和获得护理的机会.
- 这种干预措施有效地减少了从急性护理机构出院的患者30天的住院再诊.
- 执业护士的远程医疗外展是改善退院后护理协调和患者结果的有价值策略.
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