在"未经医疗建议"的医院出院后,医疗保险受益者中患有阿片类药物使用障碍的再入院和死亡率
Talia S Benheim1, Simeon D Kimmel2,3, Miriam George1
1Department of Health Services, Policy, and Practice, Brown University School of Public Health, Providence, RI, USA.
Journal of general internal medicine
|January 28, 2025
概括
对于患有阿片类药物使用障碍 (OUD) 的医疗保险受益人来说",医疗建议之前" (BMA) 的出院与更高的再入院和死亡率有关. 这些出院表明护理分散,需要有针对性的干预措施来改善患者的治疗结果.
科学领域:
- 医疗保健服务研究 医疗服务研究
- 公共卫生 公共卫生
- 成 药物 药物 药物 药物
背景情况:
- 在阿片类药物使用障碍 (OUD) 的住院患者中",医疗建议之前" (BMA) 的出院率正在增加.
- BMA 排放与不良结果有关,但对 OUD 的医疗保险受益人的数据有限.
研究的目的:
- 在被诊断患有OUD的Medicare受益人中调查不同类型的出院后的再录取和死亡模式.
主要方法:
- 一个回顾性队列研究,利用从2016年到2019年的综合国家住院医疗保险数据.
- 分析包括18岁以上的服务费医疗保险受益者,他们在住院期间被诊断出OUD.
- 出院类型分为BMA,家庭,熟练护理设施 (SNF) 或其他机构设置.
主要成果:
- 在339,712名OUD的医疗保险受益者中,4.1%的受益者经历了BMA释放.
- 与其他类型的排放相比,BMA排放与30天无计划再接收率 (25.5%) 相对较高.
- 在BMA出院后的再入院更有可能重复,发生在不同的医院,并且发生得更快.
结论:
- 在有OUD的Medicare受益者中,BMA释放意味着释放后的护理分散.
- 这些排放与家庭排放相比增加了再接收和死亡率.
- 干预措施对于解决潜在原因和减轻BMA排放对这一群体的不利影响至关重要.
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