评估跨学科诊所的有效性:为高风险的医疗保险患者提供一站式服务
Gracie Daniels1, William Ye1, Toby Okonkow1
1Department of Pharmacy, Baylor Scott & White Health, Temple, Texas, USA.
概括
一个跨学科的诊所通过整合医疗和社会服务,对高风险患者有希望. 虽然在统计学上并不显著,但试点计划表明,通过跨专业合作,有可能改善患者的治疗结果.
科学领域:
- 医疗保健管理的管理
- 以患者为中心的护理
- 专业间合作 专业间合作
背景情况:
- 高质量,以患者为中心的护理需要跨专业的合作,特别是在高风险的医疗保险患者.
- 建立了一个跨学科诊所,提供综合医疗和社会服务,解决协调护理的需要.
研究的目的:
- 评估新成立的高风险患者跨学科诊所的结果.
- 评估综合医疗和社会服务对患者健康结果的影响.
主要方法:
- 使用了回顾性前后研究设计.
- 包括586名在跨学科诊所接受护理的符合条件的患者.
- 测量结果包括急诊室访问,住院,30天再入院率以及血压和HbA1c等临床标志物.
主要成果:
- 每名患者的急诊室访问和住院人数略有下降,尽管在统计学上并不显著.
- 30天再接收率略有增加,从1.00%增加到1.87%,也没有统计学意义.
- 二次结果,包括血压,脂质和血红蛋白A1c水平,显示有所改善.
结论:
- 跨学科诊所在解决高风险人群的医疗保健缺口方面表现有前途.
- 诊所内的专业间合作可能有助于改善患者的治疗结果.
- 需要进一步的研究来证实这种综合护理模式的统计学意义和长期影响.
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