在南澳大利亚独立医院的家庭医院计划中,患者的经验和结果
Timothy J Schultz1, Candice Oster2, Aubyn Pincombe1
1Flinders Health and Medical Research Institute, College of Medicine and Public Health, Flinders University, SA, Australia.
概括
家庭医院 (HITH) 护理是患者的首选,并且与传统的医院护理一样有效. 这项研究发现,HITH患者的死亡率较低,复发和并发症较少.
科学领域:
- 医疗保健服务研究 医疗服务研究
- 相对有效性研究研究比较
- 患者体验研究 患者体验研究
背景情况:
- 家庭医院 (HITH) 在患者的住所提供急性护理.
- 传统的医院护理 (实体医院) 作为比较的基准.
- 评估HITH的临床结果和患者体验对于医疗保健规划至关重要.
研究的目的:
- 为了比较家庭医院 (HITH) 和传统医院入院之间的临床结果.
- 探索患者及其护理人员对HITH服务的体验.
- 评估与住院医院护理相比,HITH护理的安全性和质量.
主要方法:
- 一种混合方法的方法,三元化定量和定性数据.
- 用于定量结果比较的增强逆倾向权重.
- 反射性主题分析应用于焦点组和来自患者和护理人员的采访数据.
主要成果:
- 与传统的医院患者相比,HITH患者在入院后的病情通常较小.
- 在HITH临床结果中没有发现安全性或质量问题.
- HITH显示了较低的30天死亡率,28天再呈现,28天再入院和并发症率.
结论:
- 家庭医院 (HITH) 被患者高度接受和喜欢.
- 在临床结果方面,医疗保健至少与传统医院护理一样有效.
- 在传统的医院中,HITH可能会促进资源重新分配给更严重的病人.
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