无家可归与手术后医疗建议退院之前的联系
Joint Commission journal on quality and patient safety
|June 13, 2024
概括
无家可归的患者在手术后在医疗建议 (BMA) 释放之前离开医院的可能性要大得多. 了解这种人群中BMA释放的原因对于改善护理至关重要.
科学领域:
- 医学研究 医学研究
- 外科手术的结果
- 卫生公平性健康公平性
背景情况:
- 在医疗建议 (BMA) 释放之前离开医院与不良结果有关.
- 住房状况和手术后BMA释放之间的关联尚未确立.
研究的目的:
- 调查住房状况和手术后BMA释放之间的关联.
- 为了确定导致手术患者BMA排出的因素.
主要方法:
- 从2013年1月到2022年6月,回顾性分析了超过111,000例外科住院病例.
- 比较BMA和标准排放之间的人口和临床特征.
- 多变量后勤回归用于评估住房状况对BMA放电的影响.
主要成果:
- 与住房患者相比,无家可归的患者手术后BMA出院的几率是住房患者的4.4倍.
- 紧急手术,物质使用障碍和医疗补助保险与BMA出院率的增加有关.
- 系统性或与提供者相关的问题在96%的无家可归患者的BMA出院中被引用.
结论:
- 住房状况是手术患者BMA出院的重要预测因素.
- 解决无家可归患者面临的独特挑战对于减少BMA出院和促进公平的外科护理至关重要.
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