一个国家层面的分析与医院再入院相关的宏观层面因素
Reginald A Silver1, Joumana Haidar2, Chandrika Johnson3
1University of North Carolina at Charlotte Belk College of Business, 9201 University City, Blvd, Charlotte, NC, 28223, USA. rsilver5@uncc.edu.
概括
诸如负面的经济状况和环境问题等宏观因素显著影响阿片类药物使用,增加了医院再入院. 更多的医院接入可以缓解这种关系,强调需要采取整体方法来减少再入院.
科学领域:
- 公共卫生 公共卫生
- 医疗保健服务研究 医疗服务研究
- 健康的社会经济决定因素
背景情况:
- 医院再入院是医疗保健系统的一个重要问题.
- 之前的研究主要集中在影响再接收的个人层面因素上.
- 宏观层面的因素需要进一步调查,以了解它们的影响.
研究的目的:
- 探索有助于医院再入院的宏观因素.
- 调查经济稳定,环境因素和阿片类药物使用之间的联系.
- 检查医院入院对阿片类药物使用和再入院之间的关系的调节作用.
主要方法:
- 利用来自多个机构的公开数据.
- 使用的部分最小平方-结构方程建模 (PLS-SEM).
- 测试了负面经济因素,环境因素,阿片类药物使用和医院再入院之间的关联.
主要成果:
- 在负面经济因素和阿片类药物使用之间发现了显著的关联.
- 在环境因素和阿片类药物使用之间发现了显著的关联.
- 阿片类药物使用与医院再入院的情况有显著的关联.
- 医院接入积极调节了阿片类药物使用和再入院之间的关系.
结论:
- 宏观因素,包括经济和环境影响,是医院再入院的关键相关因子.
- 阿片类药物使用是将宏观层面因素与再录取联系起来的重要媒介.
- 综合纳入宏观级别决定因素的整体方法对于有效的再接收减少策略至关重要.
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