一种灵活的方法来衡量基于患者共享网络的护理协调
Alexander Engels1, Claudia Konnopka2, Espen Henken2
1Department of Health Economics and Health Services Research, Center for Psychosocial Medicine, University Medical Center Hamburg-Eppendorf, Hamburg, Germany. igv@uke.de.
BMC medical research methodology
|January 3, 2024
概括
分断的护理密度 (FCD) 比护理密度 (CD) 更好地预测精神分裂症住院. 较低的FCD得分表明住院风险降低,强调FCD在改善患者护理协调方面的实用性.
科学领域:
- 医疗保健服务研究 医疗服务研究
- 医疗信息学 医疗信息学
- 精神病学是一个精神病学.
背景情况:
- 测量护理协调是具有挑战性的,限制了临床效率.
- 像护理密度 (CD) 这样的现有指标是严格的,并且可能无法在条件或国家中概括.
- 碎片化护理密度 (FCD) 被提议作为一个适应性度量权重提供商连接.
研究的目的:
- 为了比较CD和FCD在精神分裂症患者住院的预测能力.
- 引入和验证FCD作为护理协调的灵活措施.
主要方法:
- 一项使用德国索赔数据 (2014-2017) 对21016名精神分裂症患者进行的纵向队列研究.
- 基于患者共享网络计算CD和FCD.
- 使用概率测试优化FCD权重和评估模型改进.
主要成果:
- FCD显著提高了基线模型对住院患者的预测能力 (p < 0.001).
- 患有较低FCD百分位数的患者在住院住院的风险降低了21%.
- CD对住院风险没有显著影响.
结论:
- FCD是一种适应性指标,通过加权提供者关系来预测健康结果.
- FCD可以确定关键的医疗专业,以减少精神分裂症住院的风险.
- FCD的适应性使其广泛适用于分析医疗保健系统和改善协作.
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