日本急性和康复医院中风患者区域临床路径满意度调查

Satisfaction Survey for Regional Clinical Pathway for Stroke Patients in Acute and Rehabilitation Hospitals in Japan.

作者信息

Wada Shinichi, Iwanaga Yoshitaka, Sumita Yoko, Sasahara Yusuke, Kanaoka Koshiro, Takekawa Hidehiro, Sumita Satoshi, Miyamoto Yoshihiro

机构信息

Department of Medical and Health Information Management, National Cerebral and Cardiovascular Center, Suita, Japan.

Dokkyo Medical University Hospital, Stroke Center, Mibu, Japan.

出版信息

Prog Rehabil Med. 2023 Jul 14;8:20230021. doi: 10.2490/prm.20230021. eCollection 2023.

DOI:10.2490/prm.20230021

PMID:37456918

原文链接:https://pmc.ncbi.nlm.nih.gov/articles/PMC10338178/

Abstract

OBJECTIVES

We collected opinions about the use of a stroke-specific regional clinical pathway for facilitating collaboration between acute and rehabilitation hospitals in Japan.

METHODS

The study surveys were administered in acute hospitals designated as primary stroke centers and certified by the Japan Stroke Association (n=961) and in rehabilitation hospitals affiliated with the Kaifukuki Rehabilitation Ward Association (n=1237). The survey collected information on interfacility collaboration when caring for patients admitted during the acute phase following non-traumatic stroke from April 2020 to March 2021. We examined the pathway's usefulness and challenges relative to facility type using the χ test.

RESULTS

Of 422 acute hospitals and 223 rehabilitation hospitals that responded to our survey, 259 (62.1%) acute hospitals and 164 (85.4%) rehabilitation hospitals used the pathway. Fewer rehabilitation hospitals than acute hospitals considered that the pathway was useful (52.0% vs. 63.8%, P=0.02). Fewer rehabilitation hospitals did not experience pathway-related problems when compared with acute hospitals (38.0% vs. 55.8%, P<0.01).

CONCLUSIONS

Personnel at rehabilitation hospitals were less satisfied with the regional clinical care pathway than those in acute hospitals. These results suggest that the current stroke-specific regional clinical pathway could be improved.

摘要

目的

我们收集了关于使用特定于卒中的区域临床路径以促进日本急性医院与康复医院之间合作的意见。

方法

在被指定为主要卒中中心并获得日本卒中协会认证的急性医院（n = 961）以及隶属于康复福祉联合会的康复医院（n = 1237）中进行了研究调查。该调查收集了2020年4月至2021年3月期间在非创伤性卒中急性期收治患者时机构间合作的信息。我们使用χ检验研究了该路径相对于机构类型的有用性和挑战。

结果

在回复我们调查的422家急性医院和223家康复医院中，259家（62.1%）急性医院和164家（85.4%）康复医院使用了该路径。认为该路径有用的康复医院比急性医院少（52.0%对63.8%，P = 0.02）。与急性医院相比，经历路径相关问题的康复医院更少（38.0%对55.8%，P < 0.01）。