年龄友好型卫生系统的结果:在4个月的护理交付后返回诊所
Grace Q Armstrong1, Heba M Aldossary1,2, Jessica Bingham1
1Case Western Reserve University, Frances Payne Bolton School of Nursing, Cleveland, OH, USA.
概括
接受完整年龄友好医疗系统 (AFHS) 4Ms护理的患者在未来的医疗保健中回归的可能性显著增加. 这表明AFHS倡议中的患者满意度和护理质量更高.
科学领域:
- 老年医学 老年医学
- 医疗保健服务研究 医疗服务研究
- 患者体验 患者体验
背景情况:
- 适合老年人的健康系统 (AFHS) 倡议,利用4M框架 (重要的是什么,药物,心理,流动性),正在全国范围内扩大.
- 需要更多的研究来评估AFHS实施的切实成果.
- 患者满意度是医疗保健质量的关键指标,并影响患者留守率.
研究的目的:
- 通过检查回访率作为质量的代理来评估患者对AFHS的满意度.
- 确定是否遵守AFHS 4Ms框架会影响患者对医疗保健系统的忠诚度.
主要方法:
- 从2021年1月到2024年3月,对987,197名65岁以上的患者进行了回顾性队列研究.
- 分析电子健康记录 (EHR) 数据,以量化AFHS 4M获得的护理.
- 使用卡普兰-梅尔曲线和考克斯比例危险模型进行时间到事件分析,调整为共变量.
主要成果:
- 接受完整AFHS 4Ms护理的患者返回诊所的几率明显更高.
- 卡普兰-梅尔分析表明,接受4M护理的患者复诊的累积概率更高.
- 考克斯的比例危险模型显示,接受完整4M护理的人的复诊风险增加了3.91倍 (p < .001).
结论:
- 完整实施AFHS 4Ms框架与患者保留率的增加有关.
- 较高的患者满意度,建议通过回访率,可能是全面的AFHS护理的直接结果.
- 这些发现支持AFHS模型的持续传播和采用,以提高医疗保健质量和患者忠诚度.
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