在虚拟协作护理中,由于未知原因导致患者脱离参与的因素
Chase Walker1, Robyn Carter-Pendleton2, Jian Joyner2
1JG Research & Evaluation.
概括
为了提高协作护理 (CoCM) 中的患者保留率,了解为什么患者脱离关键是关键. 较早的治疗接触点,以及患者的年龄和诊断,显著影响出于未知原因的脱离.
科学领域:
- 行为健康 行为健康
- 整合初级保健的整合.
- 医疗保健服务研究 医疗服务研究
背景情况:
- 协作护理 (CoCM) 模式将行为健康整合到初级保健中,以改善获得.
- 一个重大挑战是患者从CoCM中脱离,通常是出于未知的原因.
- 了解影响这种脱离的因素对于改善治疗延续至关重要.
研究的目的:
- 分析与患者因不明原因从CoCM脱离相关的治疗因素.
- 为了比较出于已知的原因脱离患者与未知的原因脱离患者.
- 确定加强协作护理中患者保留的策略.
主要方法:
- 分析了来自Consert Health的3317个患者级观察数据集.
- 后向渐进后勤回归用于确定出于未知原因脱离参与的预测因素.
- 在分析中包括患者特征,护理水平和治疗结果.
主要成果:
- 临床接触点的数量和时间对未知原因的脱离有重大影响;更早的接触点具有保护性.
- 患者的年龄,初始诊断和并发症与未知的脱离有关.
- 通过GAD-7和PHQ-9得分来衡量症状的改善,也与脱离模式相关.
结论:
- 通过接触点早期和一致的患者参与对于防止未知脱离在CoCM中的参与至关重要.
- 患者特定的因素,如年龄和诊断,需要量身定制的保留策略.
- 这些发现为改善综合行为健康环境中的护理和患者留守提供了意义.
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