社区专家息护理服务的出院:临床特征
Owen Peter Bourne1, Amanda Fischer2, Phillip Good1,3,4
1Department of Palliative Care, St Vincent's Private Hospital Brisbane, Kangaroo Point, Queensland, Australia.
目的:
本研究旨在确定从专业社区姑息治疗服务机构出院患者的频率和特征,以及出院的发生率、时间及原因。
方法:
这项回顾性审计审查了为期6年的住院与出院记录,包括人口统计学特征、住院时长、出院原因及再入院状态。
结果:
在5149例入院患者中,17%被出院,22%随后再次入院。再次入院患者中有19%被再次出院。出院的主要原因为无需专科姑息治疗服务(53%),其次为患者搬离服务覆盖区域(13%)。出院前的中位住院时间为141天,从出院至再次入院的中位时间为214天。另有32例患者构成一小部分群体,他们被转诊、评估后立即出院,其中多数为男性且诊断为非恶性疾病。立即出院的主要原因为无需姑息治疗服务,或患者不需要或不希望接受该服务。这些患者中有三分之一在之后被再次入院。
结论:
这些数据显示,相当一部分社区专科姑息治疗服务患者被出院。这引发了关于灵活照护模式、经验证的出院标准以及出院时实施质量评估措施的进一步研究问题。
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