基于跨学科的团队干预,以减少急性护理在急诊室多次访问患者中的使用
Yijung K Kim1, Narae Park2, Jenna H Everett3
1Health Economics and Aging Research Institute, MedStar Health Research Institute, Columbia, Maryland, USA.
Health services research
|March 6, 2025
概括
多次访问患者 (MVP) 计划显著减少了经常使用ED的急诊室 (ED) 访问和急性护理利用. 这种量身定制的干预措施在改善急需患者的医疗保健结果方面表现有希望.
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
- 医疗保健管理的管理
背景情况:
- 频繁使用急诊室 (ED) 是医疗保健系统的一个重大挑战.
- 患有高ED访问率的患者经常面临复杂的医疗保健障碍和健康的社会决定因素.
- 需要新的干预措施来管理和减少这一群体的急性护理使用率.
研究的目的:
- 评估基于团队的新型紧急部门 (ED) 多次访问患者 (MVP) 计划的影响.
- 评估该计划在减少频繁使用ED的急性护理使用率方面的有效性.
- 确定量身定制的护理计划是否可以减轻医疗保健障碍和健康的社会决定因素.
主要方法:
- 一个准实验性的研究设计,使用差异分析.
- 识别经常使用ED的用户,并实施量身定制的护理计划.
- 干预组与接受标准护理的对照组进行比较.
主要成果:
- 在ED MVP计划中的患者在12个月内急性护理医院访问 (1.94次) 和急性护理利用日数 (2.42次) 显著减少.
- 观察到30天内住院再入院患者的适度减少 (0.08人少).
- 该干预措施对降低整体急性护理负担产生了积极影响.
结论:
- ED MVP 计划是一个有效的量身定制的护理干预措施,用于减少急性护理的利用率.
- 基于团队的支持,解决医疗保健障碍和健康的社会决定因素对于经常使用ED的人来说至关重要.
- 该模型为优化资源配置和患者护理提供了一个有希望的策略.
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