在Navigator的干预后,紧急部门的社会支持计划Navigator的干预后,紧急医疗保健使用的变化:一个多中心的回顾性前后研究
Ryan D McHenry1, Christine A Goodall2
1ScotSTAR, Scottish Ambulance Service, Hangar B, Paisley.
概括
导航者社会支持计划在面临社会挑战的患者中,减少了29%的急诊室 (ED) 使用. 这种在ED访问期间启动的干预措施显示了改善医疗保健利用模式的潜力.
科学领域:
- 公共卫生 公共卫生
- 医疗保健服务研究 医疗服务研究
- 健康的社会决定因素
背景情况:
- 患有社会剥夺,暴力,药物滥用,精神疾病和无家可归的患者经常使用急诊室 (ED).
- 在ED访问期间启动的社会支持计划对医疗保健利用的影响尚不清楚.
研究的目的:
- 评估Navigator社会支持计划后紧急,住院和门诊医疗保健使用的变化.
- 评估该计划对参加ED的患者的影响.
主要方法:
- 追溯的前后研究设计.
- 对1056名成年患者在干预前和干预后365天内使用医疗保健的分析.
- 负二项回归用于分析ED出勤率,住院患者入院率和门诊预约率的变化.
主要成果:
- 在Navigator干预后的一年内,ED出席率下降了29%.
- 每年ED中位数的出席率从每年3次减少到每年2次.
- 虽然紧急护理减少,但预定门诊护理增加.
结论:
- 导航程序与减少紧急情况和急性医疗保健使用有关.
- 由ED提供的社会支持计划可以改变医疗保健利用模式.
- 建议进行进一步的前性研究来证实这些发现.
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