重新考虑风险:工具性社会支持和退休后30天的利用
Andrea S Wallace1, Sumin Park1, Jia-Wen Guo1
1University of Utah College of Nursing, Salt Lake City, UT 84112, United States.
Health affairs scholar
|October 13, 2025
概括
更高的工具性社会支持与医院出院后更少的急诊室访问有关. 将其纳入查可能会改善护理并减少再接收.
科学领域:
- 医疗保健管理的管理
- 医疗保健服务研究 医疗服务研究
- 患者的治疗结果.
背景情况:
- 医院根据医疗保险和医疗补助服务中心 (CMS) 的指导方针对与健康相关的社会需求 (HRSNs) 进行查.
- 目前的查往往忽略了工具性的社会支持,这对于药物管理等任务至关重要.
- 工具性社会支持可能会影响放免后的结果.
研究的目的:
- 调查工具性社会支持,未满足的HRSN和30天后释放结果之间的关联.
- 确定患者报告的工具性社会支持是否影响急诊室 (ED) 访问或再入院.
- 评估未满足的HRSN在排放后利用中的作用.
主要方法:
- 分析了来自5个医疗外科单位的413名住院患者的社会风险数据.
- 检查患者报告的工具性社会支持和未满足的HRSNs.
- 根据LACE分数 (停留时间,急性,并发症,ED访问) 进行调整的统计模型.
主要成果:
- 较高的工具性社会支持与30天ED访问的几率降低相关 (OR = 0.76).
- 未满足的HRSN与急救诊所访问或再入院没有显著的关联.
- 较高的LACE分数预测ED访问和再入院的增加.
结论:
- 工具性社会支持似乎是放免后短期结果的一个重要因素.
- 将工具性社会支持评估整合到与CMS一致的选中,可以提高放电规划.
- 改进的查可能会导致减少计划外的医疗保健利用.
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