东南地区的息护理结果:尽管停留时间增加,但再入院率较低
Hillary E Davis1, Heather Reed-Day1,2, Erin W Jackson2
1Department of Emergency and Trauma Medicine, University of Tennessee Medical Center, Knoxville, Tennessee, USA.
Journal of palliative medicine
|January 10, 2025
概括
住院息治疗 (PC) 咨询,尽管住院时间越来越长,但医院再入院率显著降低. 这表明PC可以提高资源利用率,特别是在流行后.
科学领域:
- 抚慰性护理医学 抚慰性护理医学
- 医疗保健服务研究 医疗服务研究
- 医疗保健操作 医疗保健操作
背景情况:
- 住院息护理 (PC) 咨询越来越多地用于操作挑战.
- PC对临床绩效指标的影响,特别是在与流行病相关的护理延迟的情况下,需要进行调查.
研究的目的:
- 评估息护理咨询对东南三级医疗保健系统内的临床绩效指标的影响.
- 评估PC咨询与患者结果之间的关联,包括停留时间和再接收率.
主要方法:
- 在2021年12月至2022年8月期间接受PC咨询的成年患者的回顾性队列分析.
- 使用的医疗保险严重性诊断相关组 (MS-DRG) 代码进行遭遇匹配.
- 对PC咨询组 (n=1906) 与匹配的非PC队列 (n=7730) 的比较.
主要成果:
- 接受PC咨询的患者年龄较大 (平均年龄为68.55岁而不是62.75岁).
- PC组的逗留时间明显长 (12.46天与6.99天相比,p < 0.001).
- 专家咨询与明显较低的再接收率 (aOR 0.54,p < 0.001) 有关.
结论:
- 息治疗咨询与医院再入院率的降低有关,尽管住院时间较长.
- 专家咨询显示了提高医疗保健机构资源利用的潜力.
- 这些发现对于由于COVID-19大流行病而导致护理延迟的地区尤为重要.
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