在过渡性家庭护理中的资源利用小组:在医院到家庭护理计划中验证RUG-III/HC案例混合系统
Clara Bolster-Foucault1,2, Paul Holyoke3
1Department of Epidemiology, Biostatistics, and Occupational Health, School of Population and Global Health, McGill University, 2001 McGill College, Montreal, QC, Canada. clara.bolster-foucault@mail.mcgill.ca.
BMC health services research
|December 1, 2023
概括
资源利用小组第三版家庭护理 (RUG-III/HC) 系统显示了在加拿大安大略省对过渡性护理客户进行分类的潜力. 然而,客户分布与传统的家庭护理有很大的不同,需要量身定制的案例组合方法来进行有效的资源规划.
科学领域:
- 医疗保健管理的管理
- 医疗保健服务研究 医疗服务研究
- 老年学是一门学科.
背景情况:
- 从医院到家庭的过渡性护理计划对于安全的患者重新融入社区至关重要.
- 案例混合系统有助于对客户进行护理规划,报销和资源需求预测的分类.
- 评估了RUG-III/HC系统在安大略省的过渡性护理中的适用性.
研究的目的:
- 评估RUG-III/HC案例混合系统对安大略省过渡性家庭护理客户的适应性和相关性.
- 确定RUG-III/HC系统在这个人群中预测资源利用的能力.
主要方法:
- 来自安大略省过渡性家庭护理计划的1680个护理事件的回顾性分析.
- 根据临床和功能数据将客户分为RUG-III/HC组.
- 计算案例组合指数,并在线性回归模型中用于预测资源利用率.
主要成果:
- 大多数客户被归类为临床复杂 (41.6%) 或身体功能减少 (37.8%).
- 排名最低的RUG-III/HC组占主导地位,表明ADL限制较低,但IADL限制不同.
- 根据RUG-III/HC系统预测,总护理资源利用率的差异为23.34%.
结论:
- 与长期居家护理客户相比,过渡家庭护理客户表现出不同的RUG-III/HC配置文件.
- 过渡方案服务于更高比例的临床复杂的客户和更少的客户减少身体功能.
- 这些发现支持为过渡期护理制定一个量身定制的案例混合系统,以改善规划,成本和资源配置.
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