在急性护理医院接受复杂病例管理的患者的特征
Lesley Charles1,2,3,4,5,6,7, Lisa Jensen1,2,3,4,5,6,7, Jorge Mario Añez Delfin1,2,3,4,5,6,7
1Lesley Charles, MBChB, CCFP(COE), is a Professor and the Program Director in the Division of Care of the Elderly, Department of Family Medicine, University of Alberta.
Professional case management
|July 26, 2024
概括
复杂的病例管理和早期风险查,包括识别家庭医生和护理人员,改善患者的治疗结果,减少住院时间 (LOS). 这有助于改善高风险患者的护理过渡和出院计划.
科学领域:
- 医疗保健管理的管理
- 患者护理协调与协调
- 提高医疗保健的质量 改善医疗保健的质量
背景情况:
- 改善护理中的转变是医疗保健规划的一个关键目标.
- 之前的研究表明,在高风险患者的早期鉴定和复杂管理下,停留时间 (LOS) 缩短.
研究的目的:
- 描述在城市急症医院接受复杂病例管理的患者的特征.
- 评估复杂病例管理对患者结果的影响.
主要方法:
- 从以前的质量保证研究中对患者的回顾性图表审查.
- 使用LACE (入院时间;入院的急性;患者的并发症;急诊室使用) 指数进行高风险查.
- 使用描述性统计数据比较干预和比较组的特征和结果.
主要成果:
- 干预组的患者表现出更高的家庭医生 (FP) 记录率,在入院前生活在家中,以及家庭护理人员参与.
- 与对照组相比,干预组患者的比例更高,他们被送回家.
- 与较低的LOS和家庭出院相关的关键患者特征包括具有已识别的FP,在家生活和家庭护理人员支持.
结论:
- 拥有确定的家庭医生,住在家里,并参与家庭护理人员对于更好的患者结果至关重要,包括更短的LOS和成功的家庭出院.
- 复杂病例管理,风险查和出院规划是改善患者结果的有效策略.
- 这项研究强调了家庭医生参与和家庭护理人员参与改善护理结果的重要性.
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