跨专业医院成咨询与患者导向出院的减少有关
Megan E Buresh1, Sharon M Kelly2, Sean Becker3
1Division of Addiction Medicine, Johns Hopkins School of Medicine, Baltimore, MD, USA. mburesh2@Jhmi.edu.
Journal of general internal medicine
|December 10, 2025
概括
成咨询服务 (ACS) 显著降低了住院患有物质使用障碍 (SUD) 患者的患者指导性出院 (PDD) 几率. 这种干预措施通过将患者与专业护理团队联系起来来改善结果.
科学领域:
- 成 药物 药物 药物 药物
- 医院 医院 医疗 医疗 医疗 医疗
- 公共卫生 公共卫生
背景情况:
- 由于物质使用障碍 (SUD) 住院的病例正在上升.
- 在这些病例中,多达30%的患者直接放出 (PDD),导致结果不佳.
- 成咨询服务 (ACS) 对PDD的影响尚不清楚.
研究的目的:
- 调查接受ACS和SUD住院患者PDD的可能性之间的关联.
- 分析不同ACS团队成员对PDD率的影响.
主要方法:
- 在城市学术医院进行的回顾性队列研究.
- 包括在2018年至2022年期间被ICD-10诊断为SUD的患者.
- 分析了ACS的接收,包括由成药物提供者 (AMP),行为健康社会工作者 (BHSW) 和同龄人的咨询,以确定PDD的几率.
主要成果:
- 接受ACS与PDD的几率显著降低有关 (aOR 0.81).
- 仅通过BHSW (aOR 0.61),仅通过同行 (aOR 0.49) 和AMP和同行 (aOR 0.71) 观察到的患者与未通过ACS观察到的患者相比,PDD的几率明显较低.
- 分析了超过16000次住院,完成了超过3400次咨询.
结论:
- 成咨询服务与SUD住院患者的PDD率降低有关.
- 需要进一步的研究来优化ACS团队的组成和利用,以改善患者护理.
相关概念视频
Specialized Care Centers and Settings-II
1.2K
Rural Health Centers
Rural health centers are specialized care facilities in remote locations with very few medical personnel. The primary care providers who run the centers are mostly Registered Nurse Practitioners. Here, emergency treatment is provided to critically ill or injured patients before they are transferred to the closest hospital. Fortunately, due to advancement in technology, many rural healthcare facilities and professionals have easy access to diagnostic and treatment...
Rural health centers are specialized care facilities in remote locations with very few medical personnel. The primary care providers who run the centers are mostly Registered Nurse Practitioners. Here, emergency treatment is provided to critically ill or injured patients before they are transferred to the closest hospital. Fortunately, due to advancement in technology, many rural healthcare facilities and professionals have easy access to diagnostic and treatment...
1.2K
Discharge Summary Forms
1.2K
The discharge summary is crucial as it enables a smooth transition from a healthcare facility to a patient's home or another care setting. This critical document facilitates seamless continuity of care, ensuring patients receive the necessary support and attention.
Here's a detailed look at the key components and guidelines for preparing a discharge summary:
Here's a detailed look at the key components and guidelines for preparing a discharge summary:
1.2K
Acute Coronary Syndrome IV: Interprofessional Care
197
IntroductionThe management of Acute Coronary Syndrome (ACS) aims to minimize myocardial damage, preserve myocardial function, and prevent complications.Initial ManagementInpatient management involves continuous cardiac monitoring, preferably in an ICU, focusing on blood pressure, serum sodium, potassium, and creatinine levels, and urine output. Ongoing pharmacologic management is crucial for stabilizing the patient.Supplemental Oxygen: Administer supplemental oxygen if oxygen saturation is...
197
Restorative Care
2.3K
Restorative care is provided once a patient has been discharged from a healthcare facility and requires additional services. The additional services include home care, rehabilitation programs, and extended care. Restorative care centers help the patient regain their previous level of functioning or acquire a new level of functioning due to the incapacitating effects of a disease or a disability. It aims to assist patients in enhancing their quality of life by encouraging independence,...
2.3K
Hospitals-II
1.1K
Hospitals provide inpatient and outpatient services. Inpatient services provide care to patients that stay in the hospital for an extended period, ranging from days to months. Examples of inpatient services include intensive care units, hospital wards, or surgeries. Outpatient services provide care to patients who come to a hospital for a diagnostic or treatment but do not stay overnight —for example, diagnostic tests, surgical procedures, or health education.
Nurses that work in...
Nurses that work in...
1.1K
Planning Nursing Care I
5.5K
The planning phase of the nursing process helps nurses set priorities, outline patient-centered goals and expected outcomes, and tailor nursing interventions to align with the aligned care plan. Through the planning phase, the nurse applies critical thinking skills to align and develop interventions according to the patient's needs. It provides continuity of care allowing patients to receive the maximum benefit from treatment. It serves as a pilot plan for allocating individual staff to a...
5.5K

