医疗复杂性儿童的护理模式和出院服务
Yuliya Oumarbaeva-Malone1,2, Valerie Jurgens1,2, Margaret Rush1,2
1Children's National Hospital, Washington DC.
Hospital pediatrics
|January 10, 2024
概括
大多数儿童医院都为患有医疗复杂性 (CMC) 的儿童提供门诊护理模式,但专用住院模式并不常见. 出院服务各不相同,一些使用高频,但许多低频服务用于CMC护理协调.
科学领域:
- 儿科医疗保健 儿科医疗保健
- 医疗保健服务研究 医疗服务研究
- 护理管理 护理管理
背景情况:
- 患有医疗复杂性 (CMC) 的儿童是重要的医疗保健用户,需要专门的护理模式.
- 现有的CMC护理模式尚未在国家范围内进行评估.
- 基于医院的护理模式旨在改善高使用儿科患者群体的结果.
研究的目的:
- 描述CMC的护理模式的结构和存在.
- 评估CMC使用排放服务的情况.
- 分析独立儿童医院的国家实践.
主要方法:
- 一项电子调查被发送到儿科健康信息系统中的48家医院.
- 医院报告了CMC的护理模式的类型和数量.
- 排放服务根据使用频率进行分类:低,中,高.
主要成果:
- 在48家医院中,有33家 (69%) 的医院响应,与未响应者没有显著差异.
- 大多数 (67%) 报告了门诊护理模式;21%缺乏专门的CMC护理模式.
- 高频放电服务包括DME输送,药物输送和放电前提供者通信.
结论:
- 在儿童医院中,CMC的护理模式结构和出院服务存在显著差异.
- 需要进一步的研究来将护理模式和出院服务与CMC的医疗保健结果联系起来.
- 这些发现强调了对这一群体进行标准化和评估的护理协调策略的需要.
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