在两个一级护理系统中比较脚扭伤护理的成本和时间
Arlette R Ordóñez-Flores1, José J Rivera-Sánchez2, M Valeria Jiménez-Baez3
1Servicio de Rehabilitación, Hospital General de Zona No. 197, Instituto Mexicano del Seguro Social (IMSS), Órgano de Operación Administrativa Desconcentrada Estado de México Oriente, Texcoco de Mora, Estado de México.
Cirugia y cirujanos
|November 26, 2024
概括
在带有康复服务和没有康复服务的家庭医疗单位中,脚扭伤的费用和护理时间相似. 这项研究比较了两个家庭医疗单位 (FMU 13和FMU 41) 管理I-II级脚扭伤.
科学领域:
- 整形外科 整形外科 整形外科
- 医疗保健服务研究 医疗服务研究
- 运动医学 运动医学
背景情况:
- 脚扭伤是常见的伤害,在初级保健中进行管理.
- 在家庭医疗单位内整合康复服务可能会影响护理成本和效率.
- 了解这些差异对于优化患者管理和资源配置至关重要.
研究的目的:
- 为了比较护理成本和护理机会来管理I-II级脚扭伤.
- 评估两个不同的家庭医疗单位模型:一个具有康复服务 (FMU 13) 和一个没有 (FMU 41).
主要方法:
- 采用了观察分析研究设计.
- 在2021年1月至11月收集了被诊断为I-II级脚扭伤的患者的数据.
- 费用包括紧急情况,家庭医学和康复咨询,以及确保康复预约 (护理机会) 的时间.
- 曼-惠特尼U测试用于统计比较.
主要成果:
- 与FMU 13 ($ 8,063) 相比,FMU 41 ($ 13,990) 的护理成本更高,但这种差异在统计学上并不显著.
- 在家庭医疗,康复或两个单位之间的护理机会方面,在护理成本方面没有发现显著差异.
结论:
- 在具有康复服务的家庭医学单位 (FMU 13) 和没有康复服务的单位 (FMU 41) 之间,护理成本和管理I-II级脚扭伤的护理机会是相似的.
- 这些发现表明,综合康复服务的存在可能不会显著改变研究环境中这种特定疾病的整体护理成本或及时性.
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