在拥有更好的护理资源的非营利性医院中痴呆症患者的死亡率
Vaneh E Hovsepian1,2, Douglas M Sloane1, K Jane Muir1,2,3
1Center for Health Outcomes and Policy Research, University of Pennsylvania School of Nursing, Philadelphia, PA, USA.
Journal of aging & social policy
|January 31, 2024
概括
经过手术的老年痴呆症患者在非营利性医院的生存率更高. 这些设施提供卓越的护士人员和教育,与营利性医院相比,有助于降低30天死亡率.
科学领域:
- 医疗保健管理的管理
- 护理研究 护理研究
- 老年医学 老年医学
背景情况:
- 痴呆症患者的住院死亡率更高.
- 了解影响痴呆症手术患者结果的因素至关重要.
研究的目的:
- 调查医院所有权状况 (营利性与非营利性) 和护理资源对30天死亡率的影响.
- 分析所有权,护理资源和痴呆症手术后老年人的死亡率之间的关系.
主要方法:
- 使用美国医院协会,医疗保险索赔和护士调查数据进行横截面分析.
- 用多级物流回归模型来评估关联.
- 根据患者和医院的特点以及护理资源进行了调整.
主要成果:
- 在非营利性医院治疗痴呆症的患者,手术后30天死亡率明显降低 (OR 0.82,95% CI 0.73-0.92).
- 所有权状况和死亡率之间的关联在具有护理资源控制和没有护理资源控制的模型中保持一致.
- 与非营利性医院相比,营利性医院的护士人员和教育水平较低.
结论:
- 医院所有权状况与痴呆症手术患者的30天死亡率有关.
- 非营利性医院与更好的结果有关,部分原因是卓越的护理资源.
- 加强营利性医院的护士人员和教育,可能会改善这一弱势群体的结果.
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