数字化伤口护理:澳大利亚伤口护理指挥中心TM的成本后果分析
Michelle Barakat-Johnson1,2,3, Meg Newton4, Crispin Cayley4
1Nursing and Midwifery Executive Services, Sydney Local Health District, Level 11 King George V Building, Nursing Executive, Missenden Road Camperdown, Sydney, NSW, Australia. michelle.barakatjohnson@health.nsw.gov.au.
BMC health services research
|July 2, 2025
概括
悉尼当地卫生区悉尼当地卫生区
科学领域:
- 医疗保健服务研究 医疗服务研究
- 数字健康创新数字健康创新
- 伤口护理管理管理
背景情况:
- 慢性伤口带来了重大的全球医疗保健成本,由于治疗延迟,经常需要长时间住院治疗.
- 悉尼当地卫生区 (LHD) 在2023年实施了一个数字伤口护理指挥中心TM,以改善及时访问并减少医院负担.
- 本研究评估了创伤护理指挥中心TM在经营一年后的经济影响.
研究的目的:
- 评估与标准护理相比,伤口护理指挥中心TM的成本效益.
- 根据新的数字模型量化医疗保健服务利用率和相关成本.
- 为了确定卫生系统的净财务节省.
主要方法:
- 对慢性伤口护理的入院,非入院和急诊室患者记录 (2018-2024) 的分析.
- 服务利用的成本分析,包括入院,住院时间和门诊/ED访问.
- 回归分析对患者混合的控制,与邻近的LHD使用标准护理作为对照组.
主要成果:
- 据估计,伤口护理指挥中心TM 预防了97例慢性伤口住院和943个住院日.
- 观察到非入院服务事件 (308) 和急诊室演示 (208) 的增加.
- 净储蓄在运营成本为130万美元后,从170万美元到330万美元不等.
结论:
- 伤口护理指挥中心TM显著减少了住院和住院时间,从而大大节省了成本.
- 数字平台促进了获得专家建议的机会,并减少了不必要的患者医院访问.
- 该模型展示了从住院到门诊的护理转移,提高了效率.
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