简要提供者教育与超级用户ED访问减少有关
Kjerstin Hensley1, Benjamin Aaker1,2
1University of South Dakota Sanford School of Medicine.
概括
为急诊室提供者提供简短的阿片类药物教育显著减少了超级使用者 (SU) 的数量和他们的总访问量. 这种干预措施为医疗保健系统带来了巨大的成本节约.
科学领域:
- 紧急医疗 紧急医疗
- 公共卫生 公共卫生
- 疼痛管理 疼痛管理
背景情况:
- 每年有数以百万计的急诊室 (ED) 访问与阿片类药物有关.
- 慢性疼痛患者经常是ED服务的超级用户.
- 超级使用者占医疗保健开支的50%不成比例,尽管仅占人口的5%.
研究的目的:
- 评估简要提供者阿片类药物教育对减少超级使用者 (SU) 和他们的急诊室 (ED) 访问的影响.
- 根据美国紧急医疗学会的ED阿片类药物处方指南,评估教育干预措施的有效性.
主要方法:
- 五个急诊室 (ED) 为提供者实施了简短的阿片类药物教育.
- 用ICD-10代码分析了教育前一年和教育后一年的患者数据.
- 统计分析,包括McNemar的测试和Z分数,确定了超级用户 (SUs) 及其访问频率.
主要成果:
- 统计学上显著下降的患者数量被确定为超级用户 (SUs) 访问ED后教育 (p=0.0006).
- 在教育干预后,观察到ED访问总数显著减少 (p=0.0017).
- 没有发现非SU患者访问的显著变化,也没有发现每个SU的平均访问次数.
结论:
- 提供者阿片类药物教育与超级使用者 (SU) 数量及其ED访问的显著下降有关.
- 这种教育方法可以节省大量的成本,估计在五个ED中超过100万美元.
- 针对ED提供者的有针对性的教育是管理高成本患者群体的有效策略.
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