减少再入院干预措施——我们是否找对了方向？
Interventions for reducing readmissions - are we barking up the right tree?
机构信息
Health Policy Planning department & Clalit Research Institute, Chief Physician Office, Clalit Health Services, Arlozorov 101, Tel Aviv, Israel.
出版信息
Isr J Health Policy Res. 2013 Jan 23;2(1):2. doi: 10.1186/2045-4015-2-2.
Abstract
Readmission reduction is at the focus of health care systems worldwide in efforts to improve efficiency across care settings. Yet, setting targets for readmission reduction is complicated due to inconsistencies in evidence pointing to effective organization-wide interventions and because of inverse incentives (such as maintaining high occupancy rates). Nonetheless, readmission reduction is one of the few quality measures that, if implemented properly, can serve as a catalyst for system integration. Appropriate mechanisms should be applied to hospitals as well as ambulatory settings to ensure that accountability is assigned to all stakeholders.
摘要
减少再入院率是全球医疗保健系统的关注焦点，旨在提高各护理环境的效率。然而，由于指向有效全组织干预的证据存在不一致性，以及存在反向激励（例如保持高入住率），因此设定再入院率降低目标较为复杂。尽管如此，减少再入院率是为数不多的质量指标之一，如果实施得当，可以成为系统整合的催化剂。应在医院和门诊环境中应用适当的机制，以确保所有利益相关者都承担责任。
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