护理诊所的虚拟过渡和相关的再接收率:为期3年的回顾性队列研究
Sarah F Horman1,2, Milla Kviatkovsky1, Edward Castillo3
1Department of Medicine, University of California, San Diego, San Diego, CA, United States.
JMIR medical informatics
|September 23, 2025
概括
虚拟转换护理 (VToC) 诊所通过改善出院后的协调,有效地减少了重返医院的病例. 这种虚拟模型提供了一个可行的解决方案,以提高患者护理和降低医疗保健成本.
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
- 患者护理协调与协调
背景情况:
- 医院再接收代表着巨大的财务负担,每年估计耗资170亿美元.
- 虽然及时的后续行动减少了 readmissions,但访问限制阻碍了它的有效性.
- 传统的护理诊所转型因物理空间需求而面临后勤和财务挑战.
研究的目的:
- 评估虚拟转换护理 (VToC) 诊所的有效性.
- 评估VToC诊所对减少30天再入院的影响.
- 确定VToC诊所在改善退院后护理协调方面的作用.
主要方法:
- 在加州大学圣地亚哥分校卫生部实施了一家由医院医生领导的VToC诊所.
- 该研究包括从2021年9月到2024年9月的2314名患者.
- 回归分析将VToC患者与基准组进行比较,以评估再入院率.
主要成果:
- VToC诊所实现了14.9%的30天再入院率,明显低于基准的20.1% (P<.001).
- 不参加VToC诊所与更高的再录取可能性相关 (OR=1.37;P<.001).
- 再入院的最大减少在中度再入院风险 (LACE+分数50-75) 的患者中.
结论:
- 护理诊所的虚拟过渡是一个可行的和有效的策略,用于离院后的护理.
- VToC诊所显著减少了医院再入院,并加强了护理协调.
- 这个模型支持四重目标:更好的结果,患者体验,成本效益和公平.
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