对医院间护理分散的数据驱动洞察:对健康政策和老年人平等的影响
Somayeh Ghazalbash1, Manaf Zargoush2, Vedat Verter1
1Management Analytics, Smith School of Business, Queen's University, Kingston, Ontario, Canada.
医院间护理碎片化 (ICF) 恶化了患者的结果,增加了成本. 解决可控制的风险因素可以减轻健康差异,改善老年人的护理连续性.
科学领域:
- 医疗保健服务研究 医疗服务研究
- 老年医学 老年医学
- 健康 公平 卫生 公平
背景情况:
- 医院间护理碎片化 (ICF) 是医疗保健系统的一个重大问题.
- 了解ICF的驱动因素和后果对于改善患者的治疗结果和降低医疗保健成本至关重要.
研究的目的:
- 识别导致ICF的因素.
- 评估ICF对再住院费用,住院时间 (LOS) 和延迟出院的影响.
- 分析寻求股权的集团在ICF中的差异.
主要方法:
- 在加拿大安大略省对老年人 (65岁以上) 的回顾性队列研究,超过13年.
- 多变量后勤回归用于识别与ICF相关的特征及其对结果的影响.
主要成果:
- 出院到非家庭/家庭护理设施和旅行距离是ICF的关键风险因素.
- 高龄,虚弱和并发症与ICF的可能性较低有关.
- 在手术患者中,ICF增加了每日再入院费用,延长了LOS和延迟出院.
- 农村居民被确定为健康不平等的来源.
结论:
- ICF加剧了健康差异,并对患者的治疗结果产生了负面影响.
- 确定了ICF可控制的风险因素,表明了干预的潜力.
- 建议以减少护理中断为重点的政策干预措施,以促进健康公平并改善结果.
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