在严重精神疾病的医疗补助保险患者中,过渡期护理的改善
Jacqueline Nikpour1, Christine Langston, Heather Brom
1Author Affiliations: Nell Hodgson Woodruff School of Nursing, Emory University, Atlanta, Georgia (Dr Nikpour); Center for Health Outcomes and Policy Research, University of Pennsylvania School of Nursing, Hillman Scholars in Nursing Innovation, University of Pennsylvania, and Leonard Davis Institute of Health Economics, University of Pennsylvania, Philadelphia, Pennsylvania (Ms Langston); Department of Biobehavioral Health Sciences and Center for Health Outcomes and Policy Research, University of Pennsylvania School of Nursing, and Leonard Davis Institute of Health Economics, University of Pennsylvania, Philadelphia, Pennsylvania (Dr Brom); Integrated Fellowship in Health Services and Outcomes Research, Feinberg School of Medicine, Northwestern University, Chicago, Illinois (Dr Sliwinski); School of Nursing, Columbia University, New York, New York (Dr Mason); University of Pennsylvania School of Nursing, Philadelphia, Pennsylvania (Ms Garcia); Penn Medicine at Home, Philadelphia, Pennsylvania (Ms Grantham-Murillo); Penn Center for Community Health Workers, Philadelphia, Pennsylvania (Mr Bennett); Department of Family & Community Health, Gerontological Nursing, and Penn Presbyterian Medical Center, University of Pennsylvania School of Nursing, Philadelphia, Pennsylvania (Dr Cacchione); and Center for Health Outcomes and Policy Research, University of Pennsylvania School of Nursing, and Leonard Davis Institute of Health Economics, University of Pennsylvania, Philadelphia, Pennsylvania (Dr Brooks Carthon).
在医院到家庭的过渡期间,Thrive计划同样有利于患有和没有严重精神疾病 (SMI) 的成年人. 这项研究发现,SMI参与者之间的健康结果和高满意度相似,突出了计划的公平性.
科学领域:
- 医疗保健提供研究 医疗保健研究
- 医疗服务研究 医疗服务研究
- 心理健康服务 心理健康服务
背景情况:
- "繁荣计划"是一个基于证据的模型,用于医疗补助保险成年人从医院到家庭的过渡.
- 相当数量的Thrive参与者患有严重精神疾病 (SMI),但其在这个人群中的有效性尚未研究.
研究的目的:
- 为了比较SMI和没有SMI的Thrive参与者的30天出院后的结果.
- 评估Thrive计划对SMI患者的适当性和可接受性.
主要方法:
- 一项连续的解释性混合方法研究包括252名参与者 (62名SMI) 从学术医疗中心出院.
- 使用快速定性分析分析了与SMI参与者的定性访谈.
主要成果:
- 没有发现有SMI和没有SMI的参与者之间的30天再入院,急诊室访问或出院后随访率的显著差异.
- 患有SMI的参与者表示对护理协调和社会需求支持的满意度很高.
- 患有SMI的参与者建议加强与行为健康服务的联系.
结论:
- "勃发展"计划为患有或没有严重精神疾病的成年参与者提供了公平的福利.
- 这些发现支持Thrive模型在不同患者群体中的适应性和有效性.
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