Guarinoni Milena G, Xausa Pietro, Motta Paolo C
DSMC, University of Brescia, Brescia, Italy.
Policy Polit Nurs Pract. 2025 Nov;26(4):290-297. doi: 10.1177/15271544251342586. Epub 2025 May 21.
IntroductionIntermediate care is a healthcare model designed to bridge the gap between hospital care and home, focusing on the efficient treatment and rehabilitation of patients after hospitalization. Its primary goals include facilitating early discharge, promoting patient independence, and preventing hospital readmissions. While previous studies have shown promise regarding the effectiveness of intermediate care, they often report mixed results, underscoring the necessity for further investigation. This review aims to evaluate the efficacy of bed-based intermediate care services in enhancing patient outcomes during the post-hospital discharge process.MethodsA systematic search was conducted across major scientific databases to identify relevant literature. The inclusion criteria focused on primary experimental studies that reported outcomes related to mortality, post-discharge care settings, functional status, length of hospitalization, rates of hospital readmission, and both physical and psychological well-being, as well as cost-effectiveness.ResultsA total of six articles met the inclusion criteria. The findings generally suggest a favorable impact of intermediate care facilities on patient outcomes. However, it is important to note that the data exhibited low statistical significance. The evidence indicates that intermediate care facilities are at least as effective as traditional hospital care, which carries a significantly higher financial burden.ConclusionsAlthough the statistical significance of the results is limited, the trends indicate that intermediate care facilities may serve as suitable and economically viable alternatives for post-hospital care. Further research with larger sample sizes and more robust methodologies is necessary to confirm these findings and fully understand the role of intermediate care in enhancing patient outcomes.
引言
过渡性护理是一种旨在弥合医院护理与家庭护理之间差距的医疗模式，专注于患者住院后的高效治疗与康复。其主要目标包括促进早期出院、增强患者独立性以及预防再次住院。尽管先前的研究已显示出过渡性护理有效性方面的前景，但它们往往报告结果不一，这凸显了进一步调查的必要性。本综述旨在评估基于床位的过渡性护理服务在改善出院后患者结局方面的疗效。
方法
在各大科学数据库中进行了系统检索，以识别相关文献。纳入标准侧重于报告与死亡率、出院后护理环境、功能状态、住院时长、再次住院率以及身心健康相关结局的原发性实验研究，以及成本效益。
结果
共有六篇文章符合纳入标准。研究结果总体表明过渡性护理设施对患者结局有积极影响。然而，需要注意的是，数据的统计学显著性较低。证据表明，过渡性护理设施至少与传统医院护理一样有效，而传统医院护理的经济负担要高得多。
结论
尽管结果的统计学显著性有限，但趋势表明过渡性护理设施可能是出院后护理的合适且经济可行的替代方案。需要进行样本量更大、方法更稳健的进一步研究，以证实这些发现并全面了解过渡性护理在改善患者结局中的作用。
