积极的支持可以防止计划外的护理吗? 在苏格兰的癌症患者中进行了一项受控的观察后期队列研究
Austyn Snowden1, Jenny Young2, Jan Savinc2
1School of Health and Social Care, Edinburgh Napier University, Edinburgh, EH11 4BN, Scotland. a.snowden@napier.ac.uk.
BMC health services research
|April 12, 2024
概括
改善癌症旅程 (ICJ) 用户获得的非计划护理比对照组更多,这表明这种主动服务可以识别和支持具有更高未来护理需求的患者. 建议进行进一步的前性研究.
科学领域:
- 在瘤学瘤学.
- 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:
- 预防性支出是全球卫生战略.
- 改善癌症旅程 (ICJ) 是一个积极主动,整体,多学科的项目,支持癌症患者.
- 国际法院旨在通过促进获得必要支持来缓解患者最紧迫的担忧.
研究的目的:
- 调查假设ICJ服务用户与匹配的对照组相比,随后使用的非计划护理较少.
- 分析国际法院干预对医疗保健利用模式的影响.
- 评估ICJ与预防性健康和社会护理议程的协调程度.
主要方法:
- 使用链接的国家数据集进行的回顾性观察队列研究.
- 格拉斯哥的1214名ICJ用户与两个对照组 (格拉斯哥ICJ前患者和苏格兰其他患者) 相匹配.
- 相关数据包括12个月基线和研究期间的癌症登记,NHS24电话,A&E入院,住院和精神药物处方.
主要成果:
- 与两组对照组相比,ICJ用户显著增加了NHS24电话,急救和住院住院的使用率.
- ICJ用户经历了更复杂的护理途径,更长的住院时间,以及心理药物的使用和成本的增加.
- 调查结果表明,ICJ参与者中非计划性护理的使用率较高.
结论:
- 与最初的假设相反,ICJ用户获得的非定时护理比匹配的队列要多得多.
- 这些结果与对影响医疗保健支出的非健康干预的文献一致,并表明ICJ有效地识别了急需患者.
- 这些发现表明,ICJ用户中可能会自行选择具有更高未来非计划护理需求的个人,这需要对健康和社会护理规划进行前性调查.
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