基于电子健康的跨部门老年医疗保健服务 - 老年医疗网络 (GerNe)
Michael Mohr1, Matthias Büttner2, Oliver Deuster3
1Geriatric Department, University Medical Center of the Johannes Gutenberg University Mainz, Mainz, Germany. michael.mohr@unimedizin-mainz.de.
这项研究探讨了电子案件档案 (ECF) 和咨询服务 (CS),以减少老年患者的再入院. 与标准护理相比,新的护理模式并没有显著降低再入院率.
科学领域:
- 老年医学 老年医学
- 医疗信息学 医疗信息学
- 医疗保健管理的管理
背景情况:
- 老年诊所和全科医生之间的传统沟通依赖于退院后的信件.
- 多病症老年患者面临高回收率,需要改善护理过渡.
研究的目的:
- 评估一种使用电子病例档案 (ECF) 和咨询服务 (CS) 的新型护理方法,以减少老年患者的再入院.
- 评估加强专业间沟通对患者治疗结果的影响.
主要方法:
- 为老年诊所实施在线ECF以记录患者信息.
- 全科医生的季度随访和临床监测的CS,用于持续的患者管理.
- 使用保险数据对干预组和对照组之间的再住院率进行比较.
主要成果:
- 干预组的住院率为83.1/100人年 (PY),对照组的PY为69.0/100.
- 在初级终点 (再住院率) 中没有观察到统计学意义上的差异 (p=0.15).
- 咨询服务处理了195个联系人,主要涉及药物管理,其中大多数是由诊所发起的.
结论:
- 实施的ECF和CS模型并没有显著降低多病老年患者1年再住院率.
- 尽管初级结果不显著,咨询服务促进了沟通,特别是在药物治疗方面.
- 进一步研究优化过渡期护理模式,包括电子工具,有必要有效减少老年人再入院.
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