产后急性护理在美国东南部医疗保健系统中的利用
Clara E Busse1,2, Brian W Pence3, Catherine J Vladutiu4
1Department of Maternal and Child Health, Gillings School of Global Public Health, University of North Carolina at Chapel Hill, Chapel Hill, NC, USA.
Journal of women's health (2002)
|November 7, 2024
概括
产后急性护理的利用发生在11.3%的寻求门诊护理的个人和3.2%需要在产后12周内重新入院的患者中. 这些事件突出了潜在的并发症和未满足的产后健康需求.
科学领域:
- 产科和妇科 产科和妇科
- 公共卫生 公共卫生
- 医疗保健服务研究 医疗服务研究
背景情况:
- 产后急性护理 (PACU) 的利用,包括门诊诊和医院再入院,可能表明医疗并发症和产后未满足的健康需求.
- 了解PACU发生率和模式对于改善孕产妇健康结果至关重要.
研究的目的:
- 估计产后急性护理利用率 (PACU) 的发生率.
- 通过社会人口统计学因素,怀孕/分娩特征,出院以来的时间和医疗指示来检查PACU的模式.
主要方法:
- 追溯队列研究,对6041名18岁以上的个体进行了追溯队列研究,他们分娩了≥1个活产婴儿>20周怀孕.
- 利用了从2021年7月到2023年3月的美国东南部四级分娩医院的电子健康记录数据.
- 被排除在外的个人住院时间>6天.
主要成果:
- 11.3%的患者经历了≥1次门诊PACU,3.2%的患者在产后12周内再入院≥1次.
- 第一次门诊PACU的中位时间为10天;第一次再入院的中位时间为6天.
- 产后并发症和高血压是PACU最常见的症状.
结论:
- 产后急性护理使用率显著,表明改善孕产妇保健的潜在领域.
- 结果可以指导资源分配,以提高产后护理和健康结果.
- 对PACU的特定症状和风险因素进行进一步的研究是有必要的.
相关概念视频
Secondary Healthcare System
1.4K
Secondary healthcare is offered by a specialist, generally in hospitals or clinics for patients referred by primary healthcare providers. It occurs when a person has an illness or injury that requires specific medical care. Secondary care is often referred to as acute care. Secondary care can range from uncomplicated care to repair a minor laceration or treat a strep throat infection to more complicated emergent care, such as treating a head injury sustained in an automobile accident. Whatever...
1.4K
Methods Of Healthcare Delivery System
3.2K
At the different levels of the healthcare system, we see varying methods of healthcare used. These methods include managed care systems, case management, and primary healthcare.
Managed Care System:
The managed care system is designed to control the cost while maintaining the quality of care. The patient's care from admission to discharge is planned by the primary care provider or the case manager, also known as the gatekeeper. In a managed care system, the number of care providers is...
Managed Care System:
The managed care system is designed to control the cost while maintaining the quality of care. The patient's care from admission to discharge is planned by the primary care provider or the case manager, also known as the gatekeeper. In a managed care system, the number of care providers is...
3.2K
Health Information Technology and Healthcare Information System
805
Health Information Technology (HIT)
Health Information Technology, commonly called HIT, integrates advanced information systems and technology in healthcare settings. Its primary functions include:
Health Information Technology, commonly called HIT, integrates advanced information systems and technology in healthcare settings. Its primary functions include:
805
Discharge Summary Forms
744
The discharge summary is crucial as it enables a smooth transition from a healthcare facility to a patient's home or another care setting. This critical document facilitates seamless continuity of care, ensuring patients receive the necessary support and attention.
Here's a detailed look at the key components and guidelines for preparing a discharge summary:
Here's a detailed look at the key components and guidelines for preparing a discharge summary:
744
Traditional Level Of Health Care System
2.7K
The levels of care describe the services provided in the healthcare system. Accordingly, there are six levels of the traditional healthcare system in the US: preventive, primary, secondary, tertiary, restorative, and continuing healthcare. A nurse must understand how the healthcare industry organizes and provides services within these levels of care.
The preventive healthcare service includes tests for screening. Preventive health care services include identifying and reducing disease risk...
The preventive healthcare service includes tests for screening. Preventive health care services include identifying and reducing disease risk...
2.7K
Specialized Care Centers and Settings-II
716
Rural Health Centers
Rural health centers are specialized care facilities in remote locations with very few medical personnel. The primary care providers who run the centers are mostly Registered Nurse Practitioners. Here, emergency treatment is provided to critically ill or injured patients before they are transferred to the closest hospital. Fortunately, due to advancement in technology, many rural healthcare facilities and professionals have easy access to diagnostic and treatment...
Rural health centers are specialized care facilities in remote locations with very few medical personnel. The primary care providers who run the centers are mostly Registered Nurse Practitioners. Here, emergency treatment is provided to critically ill or injured patients before they are transferred to the closest hospital. Fortunately, due to advancement in technology, many rural healthcare facilities and professionals have easy access to diagnostic and treatment...
716


