在新加坡减少急性医院利用率的过渡性护理计划
Chong Yau Ong1, Jun Jie Angus Ng1, Kar Kwan Sandra Joanne Ng2
1Transitional Care Community Medicine, Population Health & Integrated Care, Sengkang General Hospital, Singapore 544886, Singapore.
Healthcare (Basel, Switzerland)
|November 9, 2024
概括
过渡性家庭护理计划显著减少了患者入院和急诊室访问的次数. 这项研究显示了连续的有效性,即使在COVID-19大流行期间,为医疗保健规划提供了一个可扩展的模型.
科学领域:
- 医疗保健管理的管理
- 老年医疗护理 医疗护理
- 公共卫生 公共卫生
背景情况:
- 对过渡期护理对急性医院使用的影响的证据不一致.
- 越来越多的人口老龄化需要对家庭护理计划进行地方和区域评估.
- 这项研究解决了需要评估从急性三级医院的过渡性家庭护理的有效性.
研究的目的:
- 评估过渡性家庭护理计划在减少急性医院利用率方面的有效性.
- 分析对急诊室再诊和住院的影响.
- 评估包括COVID-19大流行在内的不同阶段的计划成果.
主要方法:
- 使用前后研究设计来评估计划的有效性.
- 分析了2004年从1679名独特患者中招募的数据.
- 该计划涉及电话跟踪和家庭访问,使用威尔科克森签名等级测试分析数据.
主要成果:
- 紧急诊所再诊次的显著减少:在入学期间减少了31.2%,在入学后减少了71.9% (p < 0.001).
- 住院病例显著减少:38.7%在入院期间和76.2%在入院后 (p < 0.001).
- 住院患者住院时间没有显著差异 (p = 0.23).
结论:
- 过渡性家庭护理计划有效地减少了急诊室的再诊和住院患者的入院.
- 该计划表明,总和频繁的急诊室访问量显著下降.
- 在COVID-19大流行期间和之后观察到一致的积极结果,支持计划可扩展性.
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