一个护士协调的门诊亲肠道抗微生物治疗 (OPAT) 计划的成本评估
Huiwen Deng1, Alan E Gross2, Andrew B Trotter3
1Department of Pharmacy Systems, Outcomes and Policy, University of Illinois Chicago College of Pharmacy, Chicago, IL, USA.
一个结构化的护士驱动的门诊亲肠道抗菌素治疗 (OPAT) 计划减少了再入院和医疗保健成本. 这凸显了OPAT计划在改善患者护理和降低开支方面的价值.
科学领域:
- 医疗保健管理的管理
- 传染性疾病 传染性疾病
- 护理实践 护理实践
背景情况:
- 门诊亲肠道抗菌疗法 (OPAT) 对于管理复杂感染至关重要.
- 优化OPAT交付对于患者的治疗结果和医疗保健经济至关重要.
- 计划外再接收和相关成本仍然是OPAT护理中的一个重大挑战.
研究的目的:
- 评估结构化,由护士驱动的OPAT计划对60天计划外再接收的影响.
- 评估该计划对医院出院后医疗保健费用的影响.
- 提供OPAT服务中资源配置的证据.
主要方法:
- 在学术医疗保健系统中实施结构化,由护士驱动的OPAT计划.
- 追溯分析60天计划外再接收率.
- 评估与OPAT患者护理相关的医疗保健成本.
主要成果:
- 护士驱动的OPAT计划与60天无计划再入院的几率降低有关.
- 在该计划中的患者在医院出院后观察到显著的成本节约.
- 结构化方法证明了OPAT交付效率的提高.
结论:
- 一个结构化,由护士驱动的OPAT计划可以有效地减少计划外再接收.
- 实施此类计划为减少医疗保健支出提供了一条途径.
- 投资于专门的OPAT资源可以提高护理质量和财务管理.
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