跨学科喘护理网络对急诊室访问和住院治疗的影响
Cole Bowerman1, Delanya Podgers2, Wenbin Li3
1Department of Medicine, Queen's University, Kingston, ON, Canada.
Journal of asthma and allergy
|February 19, 2026
概括
一个跨学科的喘护理网络 (ACN) 显著减少了与喘相关的紧急医疗保健使用,特别是在成年人中. 这种喘护理模式改善了医疗服务的利用率和患者的治疗结果.
科学领域:
- 肺病学和呼吸系统医学
- 医疗保健服务研究 医疗服务研究
- 临床实施科学 临床实施科学
背景情况:
- 喘管理指南倡导护理连续性和跨学科团队.
- 这些团队在减少急需的喘护理需求方面的有效性仍然被低估.
研究的目的:
- 评估跨学科喘护理网络 (ACN) 对医疗保健服务利用的影响.
主要方法:
- 一项回顾性队列研究比较了ACN中的1248名喘患者和3629名匹配的对照.
- 与喘相关的急诊室访问和住院被分析使用零膨胀的波桑回归,按年龄分层.
主要成果:
- ACN招生与与喘相关的急诊室访问和住院的减少有关 (P<0.001).
- 与对照组相比,ACN中的成年人没有增加注册后的医疗保健利用率,尽管注册前使用率更高.
- 在ACN的儿科患者继续表现出更高的医疗保健利用率.
结论:
- 基于指导方针的跨学科喘护理网络有效地减少了急性,非计划性喘相关的医疗保健利用率,特别是在成年人中.
- 患有喘的成年人从ACN中受益,在干预后与未注册的个人相比,他们获得了类似或较低的医疗保健服务使用率.
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