School of Nursing (Dr Alderman) and Health Sciences Library (Ms Conklin), University of North Carolina at Chapel Hill.
J Nurs Care Qual. 2022;37(4):362-367. doi: 10.1097/NCQ.0000000000000644. Epub 2022 Aug 15.
Super-utilizers of the health care system compose a small percentage of the population, yet use the most health care resources. Hotspotting addresses this issue by providing high-quality, personalized care to this population.
This review examined how hotspotting has been defined, implemented, and measured.
The Preferred Reporting Items for Systematic Reviews and Meta-Analyses Extension for Scoping Reviews (PRISMA-ScR) guided this review. Twelve databases were searched for hotspotting interventions in practice settings.
Sixteen studies were included. Hotspotting was primarily defined by the Camden Coalition of Healthcare Providers and relied on multiple professions, including nursing. Hotspotting interventions addressed access to care, social determinants of health, patient engagement, and health literacy. Some studies indicated that hotspotting reduced readmissions and emergency department visits and increased use in social services.
Patients benefit from an interprofessional, personalized approach to their care planning. Hotspotting can lead to high-quality care through building trusted relationships.
医疗系统的超级使用者在人口中占比较小，但却使用了最多的医疗资源。热点定位通过为这一人群提供高质量、个性化的护理来解决这一问题。
本综述旨在检查热点定位的定义、实施和衡量方式。
本综述遵循系统评价和荟萃分析的首选报告项目扩展（PRISMA-ScR）。在实践环境中搜索了 12 个数据库以寻找热点定位干预措施。
纳入了 16 项研究。热点定位主要由卡姆登医疗保健提供商联盟定义，并依赖于包括护理在内的多个专业。热点定位干预措施解决了获得医疗服务、健康的社会决定因素、患者参与度和健康素养问题。一些研究表明，热点定位减少了再入院和急诊就诊次数，并增加了社会服务的使用。
患者从护理计划的多专业、个性化方法中受益。通过建立信任关系，热点定位可以带来高质量的护理。
