护理协调对医疗复杂脑儿童使用服务的影响
Adrienne Harvey1,2, Daisy Shepherd1,2, Susan Gibb2,3
1Neurodisability and Rehabilitation, Murdoch Children's Research Institute, Melbourne, Victoria, Australia.
医疗复杂性脑 (CP) 的儿童获得复杂的护理服务显示出更高的医院使用率,但有更严重的健康需求. 这凸显了对这一群体所需的密集支持.
科学领域:
- 儿科医疗保健 儿科医疗保健
- 复杂的护理模式
- 大脑麻研究研究
背景情况:
- 综合护理计划旨在改善医疗复杂性脑 (CP) 的儿童的治疗结果.
- 关于这些计划对医疗保健利用的影响的证据有限.
- 了解服务使用模式对于资源配置和护理规划至关重要.
研究的目的:
- 评估复杂护理中心 (CCH) 对医疗复杂性CP儿童医院服务利用的影响.
- 将接受CCH服务的儿童与接受常规护理的儿童之间的健康,残疾和社会人口特征进行比较.
主要方法:
- 对患有医学复杂性CP的儿童电子病历的回顾性分析.
- 将78名儿童纳入CCH组和92名儿童纳入常规护理组.
- 医院服务利用的多变量回归分析 (ED访问,入院,预约).
主要成果:
- 在CCH组的儿童有更复杂的临床表现,包括混合运动类型CP,GMFCS水平V,以及呼吸系统问题和等并发症.
- 中心医疗服务与急诊室呈现率 (RR=1.81),住院患者入院率 (RR=2.77),门诊/电话接触率 (RR=1.69-6.05) 相关.
结论:
- 医疗复杂性CP的儿童访问专业复杂护理服务,表现出更高的医疗保健利用率.
- 这些较高的利用率与更复杂的临床条件和更大的支持需求相关.
- 复杂的护理模式对于管理这一群体的密集医疗需求至关重要.
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