在中医疗保健过渡结果:一个样本转移诊所的临床结果
Emily R Nurre1, Amy C Lang2, Shannon L Brothers3
1Department of Neurology & Rehabilitation Medicine, University of Cincinnati College of Medicine, USA.
Epilepsy & behavior : E&B
|October 4, 2025
概括
患有的青少年和年轻人受益于专门的过渡诊所,这缩短了转移到成人护理的时间,并改善了对并发症的监测. 这些诊所在护理过渡期间加强医疗参与.
科学领域:
- 神经学 神经学
- 青少年医学 青少年医学
- 医疗保健管理的管理
背景情况:
- 青少年和年轻成年人 (AYAs) 的治疗需要专门过渡到成人神经病学服务.
- 有效的过渡策略对于护理的连续性和治疗等慢性疾病至关重要.
- 过渡期间的护理缺口可能会对患有的AYA的健康结果产生负面影响.
研究的目的:
- 描述患有的AYA接受成人神经治疗.
- 为了比较使用过渡诊所 (ETC) 和未使用过渡诊所的AYA之间的医疗保健利用率和转移时间.
- 确定影响过渡过程和结果的因素.
主要方法:
- 对89名患有的成年患者进行了回顾性审查,比较了40名使用ETC的患者和49名没有使用ETC的患者.
- 跨组和回归分析检查了医疗保健利用和转移时间的差异.
- 共同变量包括转移时的年龄,性别,并发症,保险,诊断后的时间,发作的频率和先进的治疗史.
主要成果:
- 使用ETC的患者与非使用者相比,转移时间明显缩短 (p=0.01).
- 两组之间在发作频率 (p=0.05) 和医疗耐药性 (p=0.04) 中观察到显著差异.
- ETC参与者更有可能检查维生素D水平 (OR=10.42,p=0.001).
结论:
- 过渡诊所 (ETC) 可以加快AYA转移到成人神经治疗.
- ETCs可以改善医疗参与和对特异性并发症的监测.
- 结构化的过渡计划对于优化患有的AYA的护理至关重要.
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