在家医疗保健和熟练护理设施之间比较急性护理后的结果:一个范围审查
Fangli Geng1, Kailin Xu2, Yuchen Liu3
1Department of Health Services, Policy, and Practice at Brown University School of Public Health, Providence, RI, USA.
Journal of the American Medical Directors Association
|October 17, 2025
概括
家庭医疗保健 (HHC) 是熟练护理机构 (SNFs) 的低成本替代方案,用于急性后护理. 虽然死亡率相似,但与SNF相比,HHC的成本始终较低.
科学领域:
- 老年学是指老年学的学科.
- 医疗保健服务研究 医疗服务研究
- 老年医学 老年医学
背景情况:
- 熟练护理设施 (SNF) 和家庭医疗保健 (HHC) 是关键的急性后护理 (PAC) 设置.
- 由于成本和患者偏好,越来越多的人倾向于在家进行护理.
研究的目的:
- 为了确定SNF和HHC模型进行比较的条件/群体.
- 评估SNF和HHC之间的临床结果和医疗保健利用情况.
主要方法:
- 对美国基于PAC的研究进行了范围审查,比较了SNF和HHC.
- 包括65岁以上的成年人,重点关注临床结果和利用.
- 从1998年到2024年,搜索了PubMed和EMBASE的数据.
主要成果:
- 六项研究 (2011-2024) 符合标准,主要是针对骨科手术患者的短期结果.
- 医院再入院和功能结果是混合的;死亡率没有显著差异.
- 家庭医疗保健始终显示出比SNF更低的成本.
结论:
- 比较的PAC研究往往侧重于特定的条件和短期的,基于索赔的措施.
- 需要对更广泛的临床群体和HHC与SNF的长期,以患者为中心的结果进行进一步的研究.
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