描述退院前的干预措施,以减少老年人的住院时间:一个范围审查
Emily Garcia1,2, Zachary J Hass1,2,3
1School of Industrial Engineering, Purdue University, West Lafayette, IN, United States of America.
PloS one
|February 10, 2025
概括
医院预出院干预措施旨在缩短老年人的住院时间. 本次审查对这些干预措施进行了分类,并发现它们的有效性得到了混合的结果,强调了以患者为中心的研究的必要性.
科学领域:
- 老年学和医疗服务研究研究
- 医疗保健管理和政策
背景情况:
- 预出院干预越来越多地用于促进早期出院.
- 具体的干预措施及其对老年人出院结果的影响尚不清楚.
研究的目的:
- 为了对老年人早期出院的退院前干预措施进行分类.
- 确定影响这些干预措施实施的因素.
- 评估干预措施对排放结果的感知影响.
主要方法:
- 在Arksey和O'Malley框架和PRISMA-ScR扩展之后进行了范围审查.
- 搜索了PubMed,Embase和Scopus数据库 (1983-2020年) 的相关研究.
- 从包含的91篇文章中提取的发现进行了主题分析.
主要成果:
- 确定了八种类型的退院前干预措施 (例如,临床管理,人员配置,沟通).
- 实施的关键驱动因素包括降低成本和医院利能力.
- 报告的结果包括成本,再接收,死亡率和停留时间,有效性结果各不相同.
结论:
- 经济和政策驱动因素对老年人的预释干预有很大影响.
- 需要进一步的研究来探索患者的观点和护理轨迹,以防止负面后果.
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