困难的住院患者,患病率和特征
Jeffrey L Jackson1, Mary G Murphy2, Kathlyn E Fletcher2
1Medical College of Wisconsin, Milwaukee, WI, USA; Clement J. Zablocki VAMC, Milwaukee, WI, USA.
Patient education and counseling
|May 1, 2025
概括
大约24.5%的住院医疗病患被医疗服务提供者认为是困难的. 慢性疼痛和人格障碍独立地与增加的难度评级相关,突出了患者的关键特征.
科学领域:
- 医学教育 医学教育
- 患者与医疗服务提供者之间的沟通
- 医疗保健管理的管理
背景情况:
- 一个显著的百分比的门诊病人被认为是困难的初级保健提供者.
- 定性研究表明,住院患者也经常被住院提供者认为是困难的.
- 缺乏关于难以入院患者患病率的定量数据.
研究的目的:
- 量化医院住院患者的患病率,这些患者被药物供应商认为是困难的.
- 为了确定与被认为是困难的患者特征.
主要方法:
- 一项定量研究,涉及对住院医疗提供者的调查,以评估患者的困难.
- 使用二分法和连续尺度测量难度.
- 从图表中提取了包括人口统计,认知状态,并发症和特定诊断在内的患者数据.
主要成果:
- 对322名独特的住院患者的调查显示,24.5%被认为是困难的.
- 没有发现年龄,一般精神健康并发症或医疗复杂性和感知困难之间的联系.
- 多变量分析确定了人格障碍 (OR:5.4) 和慢性疼痛 (OR:2.1) 作为感知困难的独立预测因素.
结论:
- 住院医疗患者经常被他们的提供者认为是困难的.
- 慢性疼痛和人格障碍显著增加了患者被认为是困难的可能性.
- 研究结果表明,专注于这些特定的患者特征可能会改善提供者与患者之间的互动.
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