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社区护理人员试点计划运营指标和对患者紧急医疗服务利用的影响
Michael Mancera1, Nicholas Genthe2, Megan Gussick1
1BerbeeWalsh Department of Emergency Medicine, University of Wisconsin School of Medicine and Public Health and UW Health, Madison, Wisconsin.
概括
社区护理医疗 (CP) 计划在高使用者患者中有效减少了54.2%的911电话. 参与计划的时间较长,特别是超过六个月,与使用紧急服务的减少更大相关.
科学领域:
- 紧急医疗服务 紧急医疗服务
- 公共卫生干预 公共卫生干预
- 医疗保健管理的管理
背景情况:
- 社区护理医学 (CP) 是紧急医疗服务中的一个新兴领域.
- 关于CP计划的运营指标和结果的数据有限.
- 这项研究评估了一项基于消防部门的试点CP计划.
研究的目的:
- 确定正在进行的CP计划是否减少了高使用者的非计划紧急医疗保健利用率.
- 为了测试这个假设,社区护理人员的访问减少了这个队列中的911电话.
主要方法:
- 在CP计划中注册的成年人的回顾性队列研究 (2016-2020).
- 患者被定义为高使用者 (>在12个月内使用4次ED或911服务).
- 经验丰富的护理人员提供了家庭和电话咨询;主要结果是911使用的变化.
主要成果:
- 在注册后,每月911电话数量下降了54.2% (从31.8到14.2) (P=.003).
- 这意味着在整个队列中每年减少207个电话.
- 更长的计划入学时间显著影响了911电话的减少.
结论:
- 一个消防部门的CP计划显著减少了54.2%的911电话.
- 六个月或更长时间的注册与更大的911呼叫减少有关.
- 并发症状态没有影响观察到的911电话减少.
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