实施一项同行健康导航计划,用于患有频繁住院风险的患者
Rebecca L Jessup1,2,3, K Stockman4,5, D Nguyen5
1School of Allied Health, Human Services and Sport, La Trobe University, Bundoora, Melbourne, Australia. Rebecca.jessup@nh.org.au.
像NPW这样的同行健康导航计划支持高危住院的老年人. 这些计划提供量身定制的干预措施,以预防健康危机并改善患者的治疗结果.
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
- 患者导航 患者导航
背景情况:
- 常见的住院治疗对高危人群构成复杂的健康和社会挑战.
- 同行健康导航计划正在成为提高护理连续性和减少医院利用率的战略.
- 这种方法与护理过渡管理模型保持一致.
研究的目的:
- 描述北方患者观察 (NPW) 计划中患者的基线人口统计,自我报告的健康状况和脆弱性.
- 评估高风险重复入院的个人,接受同行健康导航支持.
- 提供对同行主导干预的目标人群的见解.
主要方法:
- 一项观察性研究分析了纳入NPW计划 (2021年11月 - 2024年10月) 的患者的数据.
- 基线数据包括人口统计,与健康相关的生活质量 (EQ-5D-5L) 和脆弱性 (罗克伍德临床脆弱性量表).
- 用描述性统计数据来总结收集的数据.
主要成果:
- 纳入了650名患者,平均年龄为70岁; 56%是女性.
- 三分之一的人独自生活,29%的人英语水平有限.
- 据报道,与健康相关的生活质量中等 (平均EQ-5D-5L指数为0.72),移动性,疼痛和心理健康方面存在挑战. 三分之二被归类为脆弱或脆弱.
结论:
- 同行健康导航计划中的患者通常是有中度健康问题的老年人.
- 这些人处于有利地位,可以从早期的个性化支持中受益,以防止健康恶化.
- 同行导航计划显示,在危险健康事件发生之前,有可能吸引风险人群.
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