描述门诊非瘤息诊所服务的独特的脆弱患者
Megan Pogue1, William Leach1, Elizabeth Franko1
1Thomas Jefferson University Hospital (M.P., W.L., E.F., G.J., G.L.), Philadelphia, Pennsylvania.
Context:
门诊非肿瘤姑息治疗是一个不断发展且身份特征日益明确的领域。
目的:
本研究的目的是评估门诊非肿瘤姑息治疗诊所的患者人口学特征及临床使用情况。
方法:
我们收集并分析了位于一家四级学术医疗中心内的一家城市非肿瘤姑息治疗诊所前两年的运营数据。
结果:
临床就诊率最高的诊断为心力衰竭(46.2%)和终末期肺部疾病(16.6%)。患者医疗复杂性较高,其中老年患者占门诊人群的55%,95.3%的患者符合多重用药标准。保险数据显示,该门诊服务的人群社会脆弱性较高,65.6%的患者使用Medicare产品,36.7%使用Medicaid产品,4.7%无保险。21.3%的新门诊就诊用于医用大麻认证。与普通初级医疗环境中年龄匹配的患者相比,该门诊患者更倾向于选择远程医疗就诊,且远程医疗就诊的失访率更低。主要诊断影响随访频率,终末期肺部疾病患者比心力衰竭患者更规律地复诊。
结论:
非肿瘤姑息治疗服务于具有独特医疗脆弱性的群体,可通过利用现有的临床基础设施、建立多学科协作以及应用远程医疗来提供支持。
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