在两个大型学术医院之间进行横向合并后,护理质量
Ilse J A Wissink1,2,3, Michiel Schinkel1,2, Hessel Peters-Sengers1,2,4
1Department of Medicine, Division of Infectious Diseases, Amsterdam UMC, University of Amsterdam, Amsterdam, the Netherlands.
Heliyon
|October 21, 2024
概括
医院合并并没有影响死亡率,但改善了再入院率和住院时间. 两家荷兰学术医院合并后,患者评级也出现了改善.
科学领域:
- 医疗保健管理的管理
- 医疗保健服务研究 医疗服务研究
- 提高质量 提高质量
背景情况:
- 医院合并很普遍,但它们对医疗保健质量的影响,特别是在学术环境中,没有得到充分记录.
- 本案例研究研究了两个荷兰学术医院合并对护理质量的初始影响.
- 合并发生在2018年6月6日,涉及以前竞争的机构.
研究的目的:
- 评估两个荷兰学术医院合并后,护理质量的早期变化.
- 评估合并整合策略对患者治疗结果的影响.
- 提供关于医院合并在欧洲环境中的影响的数据,特别是对于学术医院.
主要方法:
- 利用统计过程控制和中断时间序列分析.
- 包括所有在2016年3月1日至2022年10月1日期间入院的成年非精神病患者.
- 主要结局:所有原因的住院死亡率;次要结局:30天的再入院,住院时间,患者满意度.
主要成果:
- 在合并后的20个月 (COVID-19前时代) 中,没有观察到住院死亡率的显著变化.
- 合并后,30天再接收率的下降趋势和停留时间的减少被注意到.
- 在医院合并后,患者满意度评级似乎有所改善.
结论:
- 在荷兰一家学术医院合并中,综合合并后整合战略没有对医院内死亡率产生不利影响.
- 合并对二次质量指标产生了积极影响,包括减少再录取和更短的逗留时间.
- 调查结果表明,战略整合可以使合并后的特定护理质量指标得到改善.
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