衡量中国农村地区住院患者的持续护理需求
Haoran Liu1, Zhifan Wang1, Juan Hu2
1Department of Health Policy and Management, School of Public Health, Peking University, Beijing, China.
BMC health services research
|March 8, 2024
概括
在中国农村地区,3.25%的出院患者需要持续护理. 年龄,入院,职业和诊断等因素影响这些持续护理需求,突出显示了对综合医疗保健系统的需求.
科学领域:
- 医疗保健系统研究 医疗保健系统研究
- 公共卫生 公共卫生
- 护理 护理 护理 护理
背景情况:
- 医疗保健系统的适用性取决于提供与人口健康需求一致的持续服务.
- 在低收入和中等收入国家,过渡到以患者为中心的护理往往由于难以识别需要持续护理的患者而失败.
- 准确识别持续护理需求对于有效的医疗保健提供至关重要.
研究的目的:
- 量化和评估中国农村地区从医院出院的患者的持续护理需求.
- 确定影响这些持续护理需求的因素.
主要方法:
- 从2022年5月到7月,利用了Z县M医疗中心 (人口100万) 的医院数据库.
- 使用医院出院准备度表评估持续护理需求.
- 使用线性回归来分析影响持续护理需求的因素.
主要成果:
- 总共有3,791名患者被分析,其中123名 (3.25%) 被确定为持续护理需求.
- 持续护理需求与患者的年龄组,入院方式,职业和主要诊断类别 (P <0.05) 有显著的关联.
结论:
- 开发综合的持续护理服务对于解决中国农村医疗保健碎片化的问题至关重要.
- 迫切需要建立与住院服务相关的持续护理供应系统.
- 针对持续需要的患者提供量身定制的护理对于改善健康结果至关重要.
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