在无家可归的患者中重新入院:电子健康记录数据研究
Somalee Banerjee1, Maher Yassin2, Wendy T Dyer2
1Kaiser Permanente Oakland, Oakland, CA, USA.
The Permanente journal
|December 18, 2023
概括
无家可归的患者在医院再入院率较高. 参议院法案1152改进了跟踪,揭示了急诊室使用量增加和这一弱势群体的再接收,突出了对更好的医疗保健支持的需求.
科学领域:
- 医疗保健服务研究 医疗服务研究
- 公共卫生 公共卫生
- 医疗保健政策 医疗保健政策
背景情况:
- 在综合护理系统中,追踪无家可归的患者在医院的使用情况是具有挑战性的.
- 加利福尼亚州的参议院法案1152 (2019) 要求加强无家可归患者医院出院后的文档.
- 这项立法为研究这一群体的医院使用模式创造了机会.
研究的目的:
- 评估无家可归患者在医院使用模式.
- 为了比较无家可归患者和普通人群之间的再入院率.
- 评估住房状况对医院再入院的影响.
主要方法:
- 利用来自加利福尼亚州大型综合卫生系统的数据.
- 通过参议院法案1152的文件变更,识别了无家可归的患者.
- 将医院使用率和再入院率与匹配的一般人口群体进行比较.
主要成果:
- 无家可归的患者在2019-2020年出现了显著更高的退院后再入院率.
- 前一年内的任何地址变化都与急诊室再入院的几率增加有关.
- 无论是注册在综合交付系统中的无家可归患者还是未注册的无家可归患者,都表现出比住房的个人更高的再接收率.
结论:
- 参议院第1152号法案的文档有助于更好地研究住房不稳定的人群中医院使用情况.
- 了解这些医院使用模式对于确定社会和医疗保健支持的干预点至关重要.
- 改进数据收集有助于解决弱势无家可归人口的医疗保健需求.
相关概念视频
01:30Specialized Care Centers and Settings-II
728
Rural Health Centers
Rural health centers are specialized care facilities in remote locations with very few medical personnel. The primary care providers who run the centers are mostly Registered Nurse Practitioners. Here, emergency treatment is provided to critically ill or injured patients before they are transferred to the closest hospital. Fortunately, due to advancement in technology, many rural healthcare facilities and professionals have easy access to diagnostic and treatment...
Rural health centers are specialized care facilities in remote locations with very few medical personnel. The primary care providers who run the centers are mostly Registered Nurse Practitioners. Here, emergency treatment is provided to critically ill or injured patients before they are transferred to the closest hospital. Fortunately, due to advancement in technology, many rural healthcare facilities and professionals have easy access to diagnostic and treatment...
728
01:29Documentation in Long-Term and Home Healthcare Setting
893
Documentation in long-term care facilities and home healthcare settings is crucial for ensuring continuous, coordinated, and comprehensive care for patients. Each setting has its specific documentation processes and tools:
Long-Term Care Facilities
Long-Term Care Facilities
893
01:19Restorative Care
2.0K
Restorative care is provided once a patient has been discharged from a healthcare facility and requires additional services. The additional services include home care, rehabilitation programs, and extended care. Restorative care centers help the patient regain their previous level of functioning or acquire a new level of functioning due to the incapacitating effects of a disease or a disability. It aims to assist patients in enhancing their quality of life by encouraging independence,...
2.0K
01:22Healthcare Associated Infections II: Preventive Measures
2.6K
Essential infection prevention measures are based on the knowledge of the infection chain, the modes of transmission in healthcare settings, and the use of the best practices in all healthcare settings. Compulsory public reporting of healthcare-associated infection rates is needed to allow individuals and the community to make informed choices regarding selecting a healthcare facility.
The best practices for preventing healthcare-associated infections include hand hygiene, patient risk...
The best practices for preventing healthcare-associated infections include hand hygiene, patient risk...
2.6K
01:31Discharge Summary Forms
759
The discharge summary is crucial as it enables a smooth transition from a healthcare facility to a patient's home or another care setting. This critical document facilitates seamless continuity of care, ensuring patients receive the necessary support and attention.
Here's a detailed look at the key components and guidelines for preparing a discharge summary:
Here's a detailed look at the key components and guidelines for preparing a discharge summary:
759
01:21Health Literacy
4.0K
Health literacy is an individual's or a community's capacity to comprehend, receive, read, and use relevant healthcare information and services. The World Health Organization (WHO, 2018) defines health literacy as the cognitive and social skills that determine the ability of individuals to gain access to, understand, and use information in ways that promote and maintain good health. As a result, the WHO helps individuals manage long-term health concerns, participate in preventative...
4.0K