个人和社区水平的预测者在家医院的结果
Cynthia Williams1, Nels Paulson2, Jeffrey Sweat2
1School of Global Health Management and Informatics, University of Central Florida, Orlando, Florida, USA.
梅奥诊所 梅奥诊所 梅奥诊所 梅奥诊所
科学领域:
- 医疗保健服务研究 医疗服务研究
- 老年学是一门学科.
- 流行病学 流行病学
背景情况:
- 梅奥诊所在家高级护理 (HaH) 计划在患者住所提供医院级护理.
- 了解影响HAH结果的因素对于计划优化和健康公平至关重要.
研究的目的:
- 在医院在家计划中,确定与健康结果相关的患者和社区级因素.
- 分析30天再入院,死亡率和护理回归传统医院的升级的预测因素.
主要方法:
- 从2020年7月到2022年12月,在3个梅奥诊所中心对1433名患者进行了回顾性研究.
- 对患者和社区数据的二进制后勤回归分析 (医疗保健研究和质量机构).
- 分析结果:30天再入院,死亡率和住院升级.
主要成果:
- 老年,男性性别和疾病的严重程度预测了不良结果 (死亡率,再入院,升级).
- 患有COVID-19的患者再入院,死亡率和升级率较低.
- 像吉尼指数和互联网接入等社区因素影响了死亡率;种族/种族并没有显著预测不良结果.
结论:
- 家庭医院计划可以证明在不同患者群体中提供公平的治疗.
- 患者层面的因素 (年龄,疾病严重程度) 和社区社会经济指标显著影响HAH结果.
- 需要进一步的研究和量身定制的策略,以确保包容性的高卫生服务,并解决卫生公平问题.
更多相关视频
07:31Implementation of a Real-Time Psychosis Risk Detection and Alerting System Based on Electronic Health Records using CogStack
Published on: May 15, 2020
11:21Methodology for Establishing a Community-Wide Life Laboratory for Capturing Unobtrusive and Continuous Remote Activity and Health Data
Published on: July 27, 2018
相关概念视频
Documentation in Long-Term and Home Healthcare Setting
Long-Term Care Facilities
Community Based Intervention
Foundations of Community Mental Health Programs
Central to the success of community-based interventions is the...
Healthcare Associated Infections II: Preventive Measures
The best practices for preventing healthcare-associated infections include hand hygiene, patient risk...
Models of Health Promotion and Illness Prevention I
The health belief model (HBM) attempts to predict health-related behavior in specific belief patterns. According to the HBM, a person's...
Levels of Health Promotion and Illness Prevention
In primary prevention, actions taken before disease onset prevent the disease from...
Models of Health Promotion and Illness Prevention II
The agent-host-environment model states that disease results...
