Department of Pharmacy Practice and Science, University of Maryland Baltimore, Baltimore, MD, USA.
University of Maryland Baltimore School of Social Work, Baltimore, MD, USA.
J Interprof Care. 2023 Jul-Aug;37(4):689-692. doi: 10.1080/13561820.2022.2095363. Epub 2022 Jul 27.
The objective of this study was to assess the effectiveness of the Interprofessional Care Transitions Clinic (ICTC) in reducing preventable readmissions and their associated costs among Medicare/Medicaid patients. A prospective cohort study was conducted among adults who were discharged from the University of Maryland Prince George's Hospital Center to assess the comparative effectiveness of a clinic-based intervention in terms of readmission events, potentially avoidable utilization, length of stay, and hospital charges. Outcomes were evaluated at 1 month, 3 months, and 6 months post-discharge. There were statistically significant differences in the following outcomes (follow-up period): proportion of readmissions (3 months), potentially avoidable utilization (1 month), and mean medical charges for ICTC patients compared to non-ICTC patients (1 month). This program was aimed at testing the impact of having an interprofessional team focused on providing holistic patient-centered care.
本研究旨在评估多专业协作护理转介门诊（ICTC）对减少医疗保险/医疗补助患者可预防再入院率及其相关成本的效果。一项前瞻性队列研究在马里兰大学王子乔治郡医疗中心出院的成年人中进行，以评估基于门诊的干预措施在再入院事件、潜在可避免的利用、住院时间和住院费用方面的比较效果。结果在出院后 1 个月、3 个月和 6 个月进行评估。在以下结果（随访期）方面存在统计学显著差异：再入院率（3 个月）、潜在可避免的利用（1 个月）和 ICTC 患者的平均医疗费用与非 ICTC 患者相比（1 个月）。该计划旨在测试有一个专注于提供整体以患者为中心的护理的多专业团队的影响。
