Bullich-Marín Ingrid, García-Altés Anna, Miralles-Baseda Ramon, Juvé-Udina M Eulàlia, Melendo-Azuela Eva M, Santaeugènia-González Sebastià
Plan director sociosanitario, Departamento de Salud de la Generalitat de Catalunya, Barcelona, España; Departamento de Enfermería del Parc Taulí, Hospital Universitario, Instituto de Investigación e Innovación Parc Taulí (I3PT), Sabadell, Barcelona, España; Grupo de investigación en Cronicidad de la Cataluña Central (C3RG), Vic, Barcelona, España.
Agència de Qualitat i Avaluació Sanitàries de Catalunya (AQuAS), Barcelona, España; CIBER de Epidemiología y Salud Pública (CIBERESP), Barcelona, España; Institut d'Investigació Biomèdica (IIB Sant Pau), Barcelona, España.
Rev Esp Geriatr Gerontol. 2022 Mar-Apr;57(2):95-99. doi: 10.1016/j.regg.2022.01.008. Epub 2022 Feb 19.
The Results Centre's (RC) mission is to measure, evaluate and disseminate the results achieved by the different agents of the health system, based on relevant measures. The purpose of this research is to describe the evolution of indicators used in the social and health care network RC (RC-SH), including some indicators sensitive to nursing practice.
Observational, descriptive cross-sectional study based on data from 6 RC-SH reports (2013-2018). Indicators including activity carried out, days of stay, achievement of rehabilitation goals, discharge to home, mortality and pressure ulcers are analysed.
There was an increase in activity on the different social and health resources and days of stay decrease. Results were heterogeneous between centres. Functional improvement and home discharge showed an increasing trend, while mortality tended to decrease. The prevalence of grade III-IV pressure ulcers was maintained.
RC-SH reports have included different indicators to improve the capacity of evaluation and benchmarking for social and health network. These reports provide transparency and accountability in the field and invite further improvement in this sector. Also RC-SH results show that social and health network evolves towards intermediate care with the entry of subacute resources and the greater efficiency of convalescence. The incorporation of indicators sensitive to nursing practice contributes to making nurses and nursing care visible.
结果中心(RC)的使命是基于相关指标衡量、评估并传播卫生系统不同主体所取得的成果。本研究的目的是描述社会及医疗保健网络结果中心(RC-SH)所使用指标的演变情况,包括一些对护理实践敏感的指标。
基于6份RC-SH报告(2013 - 2018年)的数据进行观察性、描述性横断面研究。分析了包括开展的活动、住院天数、康复目标达成情况、出院回家情况、死亡率和压疮等指标。
不同社会和卫生资源的活动有所增加,住院天数减少。各中心的结果存在差异。功能改善和出院回家呈上升趋势,而死亡率趋于下降。III - IV期压疮的患病率保持稳定。
RC-SH报告纳入了不同指标,以提高社会和卫生网络的评估及基准能力。这些报告在该领域提供了透明度和问责制,并促使该部门进一步改进。此外,RC-SH的结果表明,随着亚急性资源的加入和康复效率的提高,社会和卫生网络正朝着中间护理方向发展。纳入对护理实践敏感的指标有助于凸显护士及护理工作。