住院医疗保险受益人的护理过渡管理和患者结果
Mariétou H Ouayogodé1, Brianna Hardy, John Mullahy
1Department of Population Health Sciences, University of Wisconsin School of Medicine and Public Health, 610 Walnut St, Madison, WI 53726.
报告更多护理过渡活动 (CTA) 的医院与更高的过渡护理管理 (TCM) 索赔有关. 改进的TCM和CTA改善了患者的治疗结果,并减少了医疗保健支出.
科学领域:
- 医疗保健服务研究 医疗服务研究
- 医疗保健管理的管理
- 患者的治疗结果.
背景情况:
- 有效的护理过渡对于患者住院后的结果至关重要.
- 过渡期护理管理 (TCM) 服务旨在弥合护理差距.
- 医院报告的护理过渡活动 (CTA) 可能会影响TCM的利用.
研究的目的:
- 为了确定医院报告的CTA是否与TCM索赔相关.
- 调查CTA,TCM和患者结局之间的关联.
- 分析对医疗保健支出和利用的影响.
主要方法:
- 对424,115名退院的医疗保险受益人的横截面研究.
- 用于评估CTA与TCM索赔的关联的物流回归.
- 线性回归和后勤回归分析了与支出,利用率和死亡率的关联.
主要成果:
- 高CTA报告率的医院有3%更高的TCM索赔概率.
- 与较低的90天支出 (-2803美元) 和改善的质量指标相关的TCM.
- 观察到TCM和高CTA的重收,死亡和ED访问的显著减少.
结论:
- 医院应该加强CTA,以改善护理过渡.
- 增加CTA和TCM利用率可以带来更好的患者结果.
- 促进CTA和TCM可以降低整体医疗保健支出.
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