在家里内科:三年经验与新型模型
Jamal Qarawany1, Yoav Weber1, Zivit Zalts2
1Department of Internal Medicine B, Rambam Health Care Campus, Haifa, Israel.
The Israel Medical Association journal : IMAJ
|February 11, 2025
概括
在家医院 (HaH) 为内科患者提供了住院的安全替代方案. 这种创新的模型证明了可行性,可管理的再接收率和死亡率.
科学领域:
- 内部医学 内部医学
- 医疗保健创新 医疗保健创新
- 老年医疗护理 医疗护理
背景情况:
- 在家医院 (HaH) 计划在患者的家中提供医疗护理.
- 之前的研究表明,HAH对患者和医疗保健系统都有好处.
- 兰巴姆医疗保健中心是以色列HaH的先驱,于2021年4月推出了一种协作模式.
研究的目的:
- 评估创新的家庭医院模式的可行性.
- 分析人口统计数据,并发病症和高高血压的入院迹象.
- 评估停留时间,再接收率和死亡结果.
主要方法:
- 对262名入院医院的患者进行了回顾性分析.
- 包括患有急性内科疾病的患者.
- 收集有关人口统计,并发症 (查尔森并发症指数),功能状态,入院来源,适应症,LOS,再入院和死亡率的数据.
主要成果:
- 该研究包括262名患者 (平均年龄69.7岁) 具有显著的并发病 (平均查尔森得分6.7).
- 主要入院指示是肺炎,尿路感染和细胞炎,大多数患者从内科病房入院.
- 停留时间平均为3.43天;1周和1个月的再接收率分别为10%和14%. 一个月死亡率为8% (21/262).
结论:
- 医院在家是内部医学传统住院护理的可行替代方案.
- 该HAH模型有效地管理患有急性疾病的患者,提供可行的护理途径.
- 这种方法表明了改善患者结果和医疗保健效率的潜力.
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