识别与在家庭医疗保健中利用率差的结果相关的过程和机构特征
Güneş Koru1, Yili Zhang2, Holly Felix1
1Health Policy and Management, University of Arkansas for Medical Sciences, Springdale, USA.
Home health care services quarterly
|January 17, 2024
概括
家庭卫生机构 (HHA) 面临着未计划住院和急诊室访问的挑战. 最近的发现表明,跌倒风险和抑郁症查改善了城市机构的结果,而农村HHA则需要有针对性的支持.
科学领域:
- 医疗保健服务研究 医疗服务研究
- 老年学是一门学科.
- 公共卫生 公共卫生
背景情况:
- 家庭卫生机构 (HHA) 在急性后护理中发挥着至关重要的作用,但在优化患者利用结果方面面临挑战.
- 糟糕的利用结果包括无计划的住院和没有随后住院的急诊室 (ER) 访问.
研究的目的:
- 确定与美国家庭卫生机构不利利用结果相关的过程和机构特征.
- 分析随着时间的推移,住院和急救诊所访问比例的趋势.
- 探索城市和农村高温住房之间的利用结果的差异.
主要方法:
- 来自公共存储库的大量数据集 (2010-2022) 的二次分析,涉及HHA特征,流程遵守和利用结果.
- 开发基于树的描述模型,以预测住院和急救诊所的百分比.
- 城市和农村HHAs之间的利用结果的比较.
主要成果:
- 在研究期间,住院比例总体上有所改善,而急救诊所访问比例在研究期间恶化.
- 对跌倒风险和抑郁症的查与城市HHAs的更好的结果有关.
- 与城市同行相比,农村HHA始终表现出较差的利用结果.
结论:
- 具体的过程改进,如跌倒风险和抑郁查,可以积极影响城市HHA利用结果.
- 城市和农村HHA之间存在显著的差异,农村机构需要专注关注.
- 有针对性的投资和质量改进举措对于减轻城市和农村在HHA利用方面的差距至关重要.
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