与综合医疗保健系统关联的非营利性临终关怀的质量
Gulmeena Khan1, Emmanuelle Belanger1, Joan Teno1
1Brown University (G.K., E.B., J.T.), Providence, RI 02912, USA.
Journal of pain and symptom management
|January 2, 2025
概括
整合到医疗保健系统中的非营利性临床医院与未整合的临床医院相比,没有显示出不同的质量评分. 需要进一步的研究来了解非营利性临终关怀的质量差异.
科学领域:
- 医疗保健 质量 研究 研究
- 临终关怀管理管理 临终关怀管理
- 综合医疗保健系统 综合医疗保健系统
背景情况:
- 护理人员报告显示,非营利性 (NP) 临床医院的质量优于营利性 (FP) 临床医院.
- 非营利性住院之间存在显著的质量差异.
研究的目的:
- 调查与综合医疗保健系统 (包括急症医院) 关联的非营利性住院是否会影响质量.
- 根据系统集成,审查丧亲照顾者关于临终关怀质量的报告.
主要方法:
- 分析2023年护理数据的横截面研究,对645个NP临床医院的数据进行比较.
- 综合系统中的NP临床医院与没有综合系统的临床医院进行了比较,使用星级和调整后的临床医院综合质量评分.
- 主要结局包括整体住院调整的医疗保健提供者和系统 (CAHPS) 消费者评估得分和星级等级.
主要成果:
- 44.5%的NP临床医院是综合医疗保健系统的一部分.
- 在集成和非集成的NP临床医院之间,没有发现整体临床医院CAHPS分数或星级的显著差异.
- 综合系统质量下降的趋势没有达到统计学意义.
结论:
- 临终关怀与综合医疗保健系统的关联与CAHPS分数的差异没有相关性.
- 需要进一步的研究来解释非营利性医院中观察到的质量差异.
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