设计和实施数字化的跨部门排放管理系统及其对再接收的影响:混合方法方法
Christoph Strumann1, Lisa Pfau1, Laila Wahle2
1Institute of Family Medicine, University Medical Centre Schleswig-Holstein, Campus Lübeck, Lübeck, Germany.
Journal of medical Internet research
|March 26, 2024
概括
医疗保健的数字化转型可以改善患者的出院情况. 在这项研究中,旨在优化跨部门出院管理的SEKMA系统并没有显著减少医院再入院.
科学领域:
- 医疗信息学 医疗信息学
- 数字化健康转型
- 医疗保健管理的管理
背景情况:
- 数字化转型为增强不同医疗保健提供者之间的信息交换提供了机会.
- 改善跨部门出院管理至关重要,因为患者信息在医院过渡期间经常丢失.
- 目前的改善策略主要集中在医院内部结构上.
研究的目的:
- 为了评估数字化排放管理系统的实施情况,SEKMA (Sektorübergreifende Optimierung des Entlassmanagements) 进行了评估.
- 评估SEKMA对医院再入院率的影响.
主要方法:
- 一种混合方法设计,包括保真分析和统计评估.
- 使用2019年和2022年常规入院数据的差异差异方法.
- 干预组:血管外科;对照组:内科和心脏病学.
主要成果:
- 26次采访确定了21个决定因素,分为优化潜力,障碍物和支持者.
- 开发了19个策略,其中7个 (37%) 在SEKMA中实施,包括电子释放信和标准化药物计划.
- 在14854例入院病例 (P=.20) 中,没有观察到SEKMA对再入院率的显著影响.
结论:
- 优化跨部门合作有可能改善患者护理.
- 虽然SEKMA没有显著减少再接收,但连接的数字医疗生态系统是安全和高效网络化的有希望的方法.
- 在分散的医疗保健系统中,SEKMA实施为开发数字护理网络基础设施提供了一个模板.
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