关闭循环:一种新的护理协调工具,以减少产后母亲的医疗保健使用率,并共同构建干预措施,以满足社区需求
Amanda Terry1, Chelsea Arnold2, Zackery White3
1Unite Us, 217 Broadway FLR 8, New York, NY, 10007, USA. amanda.terry@uniteus.com.
BMC pregnancy and childbirth
|May 17, 2025
概括
实施推平台Unite Us,医疗补助/医疗保险患者的产后医院再入院减少了59%. 解决非医疗需求改善了孕产妇健康结果,降低了医疗保健成本.
科学领域:
- 医疗保健服务研究 医疗服务研究
- 数字健康干预措施 数字健康干预措施
- 孕产妇健康 孕产妇健康
背景情况:
- 萨拉索塔纪念医疗保健系统在2020年8月实施了关闭循环推平台Unite Us.
- 该平台旨在通过向社区组织的转介来解决产科患者的非医疗需求.
研究的目的:
- 评估技术支持的护理协调平台对产后医疗保健利用的影响.
- 评估联合我们平台在将产科患者与社区资源联系起来方面的有效性.
主要方法:
- 采用了一项准实验性,前后干预研究,其设计与1:1匹配.
- 根据患者和出生特征,分娩被匹配.
- 条件后勤回归被用来分析联合我们平台的影响,结果根据各种因素分层.
主要成果:
- 该研究包括1,996次分娩,其中998次在联合我们组和998次在实施前控制组.
- 通过联合我们推的医疗补助/医疗保险受益者在30天内被重新录取的可能性降低了59%.
- 与对照组相比,这些患者在六个月内与OB相关的住院病例减少了55%.
结论:
- 联合我们平台在医疗补助/医疗保险受益者中显示,产后医疗保健利用率在统计学上显著下降.
- 通过数字护理协调解决与医疗有关的非医疗需求,可以改善产后结果并降低医疗保健成本.
- 推数据可以为社区讨论提供信息,以加强孕产妇和儿童健康支持网络.
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