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用于结果测量的再入院数据:识别并强化实证基础。

Readmission data for outcomes measurement: identifying and strengthening the empirical base.

作者信息

Landrum Laurie, Weinrich Sally

机构信息

School of Graduate Studies, Medical College of Georgia, 1120 15th Street, Augusta, GA 30912, USA.

出版信息

Qual Manag Health Care. 2006 Apr-Jun;15(2):83-95. doi: 10.1097/00019514-200604000-00003.

DOI:10.1097/00019514-200604000-00003
PMID:16622357
Abstract

Hospital readmission is an important indicator of patient care outcomes and is widely used in evaluating the quality of health care provided. However, few definitions of the term "readmission" are listed in the literature, and exact measurement parameters regarding readmission are seldom stated. The term readmission is indiscriminately used and defined, making accurate comparisons of results difficult across studies if not impossible. This article analyzes the concept readmission, creates a criteria-based definition for the term, and proposes a measurement instrument on the basis of these criteria to consistently quantify readmission in quality management programs and research studies. Multiple databases were searched using various key terms to locate literature covering adult and pediatric populations and all clinical conditions or diagnoses. Articles were selected on the basis of the specified inclusion/exclusion criteria.

摘要

医院再入院是患者护理结果的一项重要指标,广泛用于评估所提供医疗保健的质量。然而,文献中很少列出“再入院”一词的定义,关于再入院的确切测量参数也很少提及。“再入院”一词的使用和定义随意,这使得即使不是不可能,也很难在不同研究之间进行结果的准确比较。本文分析了再入院的概念,为该术语创建了一个基于标准的定义,并基于这些标准提出了一种测量工具,以便在质量管理项目和研究中对再入院进行一致的量化。使用各种关键词搜索了多个数据库,以查找涵盖成人和儿童人群以及所有临床病症或诊断的文献。根据指定的纳入/排除标准选择文章。

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