人口普查增长和新型家庭医院计划的挑战:一项回顾性队列研究
Stephen T Biederman1, Julia S Breton2, Gordon M Pace1
1Division of Hospital Medicine, Virginia Commonwealth University, Richmond, Virginia, USA.
Journal of the American Geriatrics Society
|November 8, 2024
概括
医院在家计划的招生面临挑战,患者认为重要的咨询是不合格的或被患者拒绝的. 了解这些障碍是成功计划增长的关键.
科学领域:
- 提供医疗保健的模式.
- 老年医学 老年医学
- 医疗服务研究 医疗服务研究
背景情况:
- 家庭医院 (HaH) 是一个不断扩大的护理模式,需要大量投资.
- 准确估计患者普查和入学情况对于启动HAH计划至关重要.
研究的目的:
- 为了比较预计与实际的咨询和入学新 HaH 计划.
- 为了识别在入学过程中遇到的障碍,为HH服务.
主要方法:
- 在城市学术医疗中心进行的观察性,回顾性队列研究.
- 包括成年住院患者被考虑参加HaH.
- 提取人口统计,诊断和结果数据;记录咨询量和不合格或拒绝患者的原因.
主要成果:
- 在第一年,248名患者注册,平均每日人口普查达到4.4名患者的峰值.
- 在7至12个月期间,724次咨询导致了22.5%的入学率,21.8%的下降率和29.3%的不合格率.
- 主要的不合格原因包括复杂的护理需求和保险状况;患者拒绝理由是偏好医院护理或不适合家庭条件.
结论:
- 这项研究突出了在哈哈计划的招生挑战.
- 调查结果为其他项目提供了洞察力,可以在启动和扩展阶段考虑.
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