Cox C L, Wood J E, Montgomery A C, Smith P C
College of Health Professions, University of Lowell, Massachusetts 01854.
Public Health Nurs. 1990 Sep;7(3):130-7. doi: 10.1111/j.1525-1446.1990.tb00625.x.
This longitudinal descriptive study retrospectively profiled the acutely ill patient in home health care and explored the utility of using patient record data in predicting agency resource use and patient outcome. The findings suggest that those variables traditionally relied on for reimbursement qualification and as components of patient-classification schemes may not be wholly adequate to explain resource use and patient outcome in the home health setting. Professional nursing judgment of the patient's prognosis was found to be the most sensitive variable predicting outcome. Selected diagnoses and self-care capacity of the patient were the major predictors of resource use. Suggestions are offered for further studies that may move public health nursing more quickly toward the development of consistent and accurate home health care case mix measures.
这项纵向描述性研究回顾性地分析了家庭医疗保健中急重症患者的情况，并探讨了利用患者记录数据预测机构资源使用和患者结局的效用。研究结果表明，那些传统上用于报销资格认定以及作为患者分类方案组成部分的变量，可能并不完全足以解释家庭医疗环境中的资源使用和患者结局。患者预后的专业护理判断被发现是预测结局最敏感的变量。患者的特定诊断和自我护理能力是资源使用的主要预测因素。本文为进一步的研究提供了建议，这些研究可能会使公共卫生护理更快地朝着制定一致且准确的家庭医疗保健病例组合措施发展。
