Department of Health Policy and Management, School of Public Health, Peking University, Beijing, China.
Henan Honliv Hospital, Changyuan, China.
BMC Health Serv Res. 2024 Mar 7;24(1):308. doi: 10.1186/s12913-024-10729-2.
International experience shows that the suitability of a high-performance healthcare system for its given purposes is reflected in its ability to provide a continuum of services that match the changing health status of the given population. Although many low- and middle-income countries have sought to bring movement away from hospital-centered and towards patient-centered healthcare, such efforts have often had poor results, and one of the major reasons for this is the inability to accurately identify which inpatients need continuing care and what kind of continuing of care is needed.
To measure and assess the continuing care needs of discharged patients and its influencing factors in rural China.
Data were obtained from the hospital database of Medical Center M in County Z from May to July 2022. County Z is a county of 1 million people in central China. The database includes basic patient information, disease-related information, and information on readiness for hospital discharge. Factors related to the need for continuing care were included in the analysis. The Readiness for Hospital Discharge Scale was used to assess the need for continuing care. The statistical data are expressed in terms of both frequency and composition ratio. Finally, linear regression was used to analyze the factors influencing the need for continuing care.
The analysis included a total of 3,791 patients, 123 of whom (3.25%) had continuing nursing needs. The need of continuing nursing was related to patients' age group, mode of admission, occupation and major diagnostic categories (P < 0.05).
Developing continuing care is an important initiative for bridging the fragmentation of health services, and an appropriate supply system for continuing care, interconnected with inpatient services, should be established in rural areas in China as soon as possible. And provide more appropriate care for patients in need.
国际经验表明，一个高性能的医疗体系是否适合其特定目的，反映在其提供与特定人群不断变化的健康状况相匹配的服务连续性的能力上。尽管许多低收入和中等收入国家都试图摆脱以医院为中心、以患者为中心的医疗模式，但这些努力往往收效甚微，其中一个主要原因是无法准确识别哪些住院患者需要继续护理以及需要何种类型的继续护理。
测量和评估中国农村出院患者的继续护理需求及其影响因素。
数据来自 2022 年 5 月至 7 月间中国中部某县医疗中心 M 的医院数据库。该县是一个拥有 100 万人口的县。该数据库包括基本患者信息、疾病相关信息以及出院准备信息。分析中纳入了与继续护理需求相关的因素。使用出院准备量表评估继续护理需求。统计数据以频数和构成比表示。最后，采用线性回归分析影响继续护理需求的因素。
共纳入 3791 例患者，其中 123 例（3.25%）有继续护理需求。继续护理需求与患者年龄组、入院方式、职业和主要诊断类别有关（P<0.05）。
发展继续护理是弥合卫生服务碎片化的重要举措，应尽快在中国农村地区建立与住院服务相互关联的继续护理适宜供应体系，为有需要的患者提供更适宜的护理。
