在长期护理机构为老年人提供信息技术支持的综合医疗服务
Jung-Yeon Choi1, Hongsoo Kim2,3,4, Seungyeon Chun2
1Departments of Internal Medicine, Seoul National University Bundang Hospital, Seongnam, Republic of Korea.
BMC medicine
|May 28, 2024
概括
综合医疗服务平台改善了糖尿病控制,并减少了长期护理机构中老年患者的潜在不适当药物 (PIM) 使用. 技术支持的系统增强了护理,但没有对功能或医疗保健使用产生负面影响.
科学领域:
- 老年学是指老年学的学科.
- 医疗信息学 医疗信息学
- 临床药房 临床药房
背景情况:
- 在长期护理机构的老年患者往往有复杂的健康需求.
- 对这一群体来说,慢性疾病和药物的有效管理至关重要.
- 数据共享和综合管理平台有可能改善护理服务.
研究的目的:
- 评估信息技术支持的综合医疗服务平台的有效性和安全性.
- 评估平台对慢性疾病控制,药物管理和机构住院老年患者护理质量的影响.
主要方法:
- 一项集群随机对照研究,涉及555名65岁以上的长期护理医院 (LTCH) 和养老院 (NH) 的655名患者.
- 干预组使用基于平板电脑的平台进行老年评估,疾病/药物管理和不良事件查.
- 对照组接受了通常的护理;结果在3个月后进行评估.
主要成果:
- 干预组显示糖尿病控制率显著改善 (OR=2.61) 和减少PIM使用 (OR=4.65停止治疗,β=-0.27 PIM数量).
- 在多种药物治疗的患者中,药物减少也显著改善 (OR=1.98).
- 在高血压控制,多药率或复合质量指标方面没有发现显著差异.
结论:
- 一个IT支持的综合健康服务平台有效地减少了PIM的使用,并改善了老年患者的糖尿病控制.
- 该平台在没有导致功能下降或增加医疗保健利用率的情况下展示了好处.
- 这种方法有望提高LTCH和NH的护理水平.
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