非计划性瘤病房入院的医院护理:瘤学和一般医院医生的混合方法分析结果和过程
Megan A Mullins1,2,3, Sanah Ladhani2,4, Abril Carrillo2
1Department of Health Economics, Systems, and Policy, Peter O'Donnell Jr. School of Public Health, University of Texas Southwestern Medical Center, Dallas, Texas, USA.
Cancer medicine
|February 24, 2026
概括
瘤医院医师 (OH) 团队通过吸引门诊瘤学家来改善癌症患者的护理. 这一战略提高了放电规划和后续行动,尽管它也与更高的再接收率相关联.
科学领域:
- 在瘤学瘤学.
- 医院 医院 医疗 医疗 医疗 医疗
- 医疗保健服务研究 医疗服务研究
背景情况:
- 癌症患者的护理需要在住院和门诊之间进行无过渡.
- 医院医生模型,包括专门的瘤医院医生 (OH),旨在优化护理提供.
- 了解不同医院医师对患者结果的影响至关重要.
研究的目的:
- 为了比较瘤医院医生 (OH) 和普通医院医生 (GH) 团队之间的患者结果.
- 确定与瘤治疗中不同患者结果相关的团队实践.
主要方法:
- 解释性顺序混合方法设计,比较非计划性住院患者的入院.
- 倾向性得分匹配用于平衡OH和GH团队 (2018-2022) 之间的患者特征.
- 主要结局:门诊瘤学随访,30天再入院,退院;通过多变量逻辑回归和定性访谈进行分析.
主要成果:
- 在OH的团队显示出更高的离院率 (aOR: 1.9) 和30天的门诊瘤学随访 (aOR: 4.2).
- 与GH团队相比,OH团队的30天再入院率 (aOR:1.8) 的调整率也更高.
- OH团队与门诊瘤学直接沟通,与依赖咨询服务的GH团队不同.
结论:
- 在住院期间与门诊瘤科医生直接接触,有助于癌症患者更好地规划出院.
- 这种沟通策略可以改善瘤病人的医院护理过渡.
- 住院团队可以与门诊专家进行直接沟通,以加强护理协调.
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