利用过渡期护理管理服务和30天再接收服务
Eun Ji Kim1,2, Kevin Coppa3, Sara Abrahams4
1Department of Medicine, Donald and Barbara Zucker School of Medicine at Hofstra/Northwell, Hempstead, NY, United States of America.
PloS one
|January 3, 2025
概括
过渡期护理管理 (TCM) 访问减少了30天的再入院. 这种好处来自于TCM访问本身以及经常使用TCM服务的临床医生提供的护理,改善了患者的治疗结果.
科学领域:
- 医疗保健管理的管理
- 减少患者再接收 减少患者再接收
- 临床工作流的优化 临床工作流优化
背景情况:
- 已知过渡期护理管理 (TCM) 访问减少了30天的再入院.
- 这种减少的具体驱动因素,无论是访问本身还是更广泛的诊所变化,仍然不清楚.
研究的目的:
- 分析释放后后续访问类型和30天再接收之间的关联.
- 为了确定提供者使用TCM或TCM访问本身是否会影响再接收率.
主要方法:
- 来自Northwell Health的成年医学服务患者的横截面分析 (2018年2月至2020年2月).
- 对比TCM的30天无计划的重复治疗与非TCM的随访后的随访.
- 提供者TCM使用频率对再接收几率的评估影响.
主要成果:
- 在TCM的后续检查中,30天的再入院显著减少 (HR=0.74).
- 经常使用TCM的非TCM访问的患者的再接收几率较低 (OR=0.84).
- 在经常使用TCM的用户中,TCM访问进一步减少了再入院,而非TCM访问相比 (OR=0.78).
结论:
- 减少30天的再入院与TCM访问和高TCM利用率的提供者的护理有关.
- 具体的过渡期护理管理访问和提供者与TCM模型的接触都有助于改善患者的治疗结果.
- 调查结果表明,在过渡期护理管理中,再接收减少的双重机制存在.
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