患者优先考虑护理增加长期服务和支持使用:倾向性匹配队列研究
Rafael Samper-Ternent1, Javad Razjouyan2, Lilian Dindo3
1Department of Management, Policy, and Community Health, UTHealth Houston, Houston, TX, USA; Institute on Aging, UTHealth Houston, Houston, TX, USA.
Journal of the American Medical Directors Association
|February 6, 2024
概括
患者优先护理 (PPC) 在退伍军人中增加了长期服务和支持 (LTSS) 的使用,确定了独立生活的未满足需求. 这种方法并没有增加紧急或紧急护理访问.
科学领域:
- 老年学是一门学科.
- 医疗保健服务研究 医疗服务研究
- 公共卫生 公共卫生
背景情况:
- 患者优先护理 (PPC) 是一种基于证据的策略,旨在使医疗保健与患者确定的优先事项保持一致.
- 了解PPC对服务利用的影响对于优化退伍军人护理至关重要.
研究的目的:
- 评估PPC方法对退伍军人长期服务和支持 (LTSS) 使用的影响.
- 为了确定PPC是否影响急诊室 (ED) 或紧急护理访问率.
主要方法:
- 一个准实验设计比较了暴露于PPC的退伍军人与倾向匹配的对照.
- 分析了143名PPC参与者和286名常规护理对照者的数据.
- 评估了LTSS使用,ED访问和紧急护理访问的12个月前和后的指数日期.
主要成果:
- 在PPC组中,LTSS的使用率高出48% (OR,1.48;P = .05).
- 在非脆弱个体中,LTSS使用在PPC组明显高 (OR,1.70;P = .028).
- PPC与ED或紧急护理利用率的增加没有关联.
结论:
- PPC方法导致退伍军人增加了LTSS的使用率.
- PPC有效地确定了患者对安全,独立生活的需求,LTSS可以解决这些需求.
- PPC是增强支持性护理的宝贵工具,而不会增加急性医疗保健的使用.
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