医疗复杂性的儿童在门诊结构化临床计划中注册后的医疗保健利用率
Stacey Cook1, Matt Hall2, Isabel Stringfellow1
1Complex Care, Division of General Pediatrics Boston Children's Hospital, Harvard Medical School, Boston, Massachusetts, USA.
Paediatrics & child health
|November 14, 2024
概括
患有医疗复杂性 (CMC) 的儿童在参加结构化临床计划 (SCP) 后,医疗保健使用量减少. 然而,患者特征并不能预测这些不同的医疗服务利用趋势.
科学领域:
- 儿科 儿科 儿科
- 医疗保健服务研究 医疗服务研究
- 复杂的慢性病 复杂的慢性病
背景情况:
- 患有医疗复杂性 (CMC) 的儿童往往有很高的医疗保健需求.
- 门诊结构化临床计划 (SCP) 旨在优化CMC的护理.
- 很少有人知道在SCP注册后,CMC医疗服务的使用方式如何变化.
研究的目的:
- 在SCP招生后测量CMC医疗服务使用趋势.
- 评估患者特征是否预测了这些利用趋势.
主要方法:
- 回溯分析506个新注册的CMC在门诊SCP.
- 在入学后6个月内测量门诊和住院医疗服务的使用情况.
- 使用集群分析根据卫生服务使用趋势和评估的人口/临床预测因素对CMC进行分类.
主要成果:
- 大多数CMC都患有复杂慢性疾病 (CCC).
- 总体而言,门诊诊,电话和住院病例在6个月内显著减少.
- 集群分析确定了四个住院趋势类别,但患者特征无法预测这些趋势.
结论:
- 虽然CMC总体上经历了随着时间的推移而减少的医疗服务使用,但这种模式并不统一.
- 人口和临床因素没有预测个体医疗服务利用趋势.
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