状细胞病患者的标准化管理及其对护理利用和成本的影响
Dylan H Ross1,2, Amy W Wozniak3, Talar Markossian4
1Department of Medicine, Stritch School of Medicine, Cardinal Bernardin Cancer Center, Loyola University Chicago, Maywood, IL.
一个针对状细胞疾病 (SCD) 的个性化管理计划成功地将患者护理转移到门诊机构,减少住院和急诊. 这种方法显著降低了医疗保健成本,改善了患者管理策略.
科学领域:
- 血液学 血液学 血液学
- 医疗保健服务研究 医疗服务研究
- 公共卫生 公共卫生
背景情况:
- 状细胞疾病 (SCD) 管理在医疗保健利用和成本方面带来了挑战.
- 需要标准化的护理协议来优化患者的治疗结果和资源配置.
研究的目的:
- 评估个性化管理计划对SCD患者医疗保健利用和成本的影响.
- 评估将SCD患者护理从住院和急诊机构转移到门诊服务的有效性.
主要方法:
- 从2010年1月至2020年12月,对7114例患有状细胞疾病的患者进行了回顾性分析.
- 医疗保健利用率 (住院,急诊室,门诊) 和相关成本在计划实施前后进行比较.
主要成果:
- 门诊患者的接触显著增加,从36.5%增加到70.9%.
- 住院患者的遭遇从38.6%下降到20.3%,急诊室的访问从20.3%下降到8.8%.
- 每次遇到的中位数费用下降了1838美元,高住院使用者和紧急护理接受者减少了.
结论:
- 个性化的SCD管理计划成功地将护理转移到门诊.
- 这种转变导致医疗保健利用率下降,并大大节省了成本.
- 该计划展示了标准化和经济有效的SCD患者管理的成功模式.
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