家庭基础初级保健与韩国老年人退院后结果之间的关联
Hyun Ji Lee1, Ae Jung Yoo2, Hyo Jung Bang2
1Health Insurance Research Institute, National Health Insurance Service, Wonju-si, Gangwon-do, South Korea; Division of Healthcare Administration, Yonsei University, Wonju-si, Gangwon-do, South Korea.
Journal of the American Medical Directors Association
|December 17, 2024
概括
家庭初级保健 (HBPC) 显著减少了韩国老年人的30天再入院和住院. 这种护理模式还降低了出院后的平均总医疗费用,改善了患者的治疗结果.
科学领域:
- 老年学是一门学科.
- 医疗保健服务研究 医疗服务研究
- 公共卫生 公共卫生
背景情况:
- 基于家庭的初级保健 (HBPC) 对具有行动限制的老年人至关重要.
- 需要有效的退院后护理策略来降低再入院和医疗保健成本.
研究的目的:
- 评估韩国老年人家庭初级保健 (HBPC) 与出院后结果之间的关联.
- 为了比较HBPC用户和非用户之间的再入院率,住院,长期护理入院和医疗费用.
主要方法:
- 一项使用国家医疗保险服务 (NHIS) 数据的倾向分数匹配队列研究.
- 包括1580名使用HBPC的韩国老年人和1580名匹配的对照.
- 使用考克斯回归和线性模型分析了30天的再入院,住院,长期护理入院和总医疗费用.
主要成果:
- 与非使用者相比,HBPC使用者的30天再入院 (RR 0.66) 和住院 (RR 0.58) 的风险明显较低.
- 对于HBPC使用者来说,平均年度总医疗费用低于4764美元.
- 在入住长期护理机构的风险上没有观察到显著的差异.
结论:
- 家庭初级保健 (HBPC) 服务对老年人出院后的结果产生了积极的影响.
- HBPC有效地减少了再入院,住院和医疗保健支出.
- HBPC是改善老年护理和管理医疗保健成本的有价值模型.
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