医院附属关系对医院转移实践的影响
Wardah Rafaqat1, Omar Mahmud1, Christopher Alba2
1Medical College, Aga Khan University, Karachi, Sindh, Pakistan.
Health services insights
|July 28, 2025
概括
医院关联增加了患者转移和资源使用. 在加入后,早出院率下降,而长途患者转移和资源利用率上升,影响了医疗服务的提供.
科学领域:
- 医疗保健服务研究 医疗服务研究
- 医院管理局 医院管理局
- 患者转移研究 患者转移研究
背景情况:
- 社区医院和学术医院之间的联系越来越多.
- 对这些关联关系如何影响患者转移实践和资源利用的理解有限.
研究的目的:
- 调查医院附属关系对患者转移实践的影响.
- 评估在加入后医院资源利用的变化.
主要方法:
- 从社区转移到学术医院的患者的回顾性队列研究 (2015-2019).
- 间断时间序列分析以评估加盟前和后的结果 (2017年1月).
- 主要结果:早期出院率的变化 (在48小时内);次要结果:低收入患者,距离,ICU入院率和手术管理率.
主要成果:
- 没有观察到任何重要的加盟前趋势.
- 加入后:提前放学率的季度下降 (P=.027).
- 加入后:远程患者转移的季度增长 (P=.027) 和操作管理率的三年降低 (P=.039).
结论:
- 医院关联导致接受学术医院的转移量和资源利用量增加.
- 从更远的距离转移的患者比例在附属后增加.
- 附属关系影响了转移动态,可能会影响患者获取和护理途径.
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