Effectiveness of early care information transfer among home-dwelling frail elderly patients in Japan: A cluster randomized trial

IF 0.8 Q4 NURSING
Makiko Ozaki, Shinji Matsumura, Seiji Bito
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引用次数: 1

Abstract

Introduction Challenges are often observed during care transitions from home to hospital among frail elderly individuals who tend to be treated by different providers. This study evaluated the effectiveness of early care information transfer on the quality of care transitions among home-dwelling elderly patients in Japan who needed acute hospitalization. Methods A cluster randomized controlled trial with a clinic as a clustering unit was conducted with patients aged 65 years and older who had home-visit care and then needed to be hospitalized for acute care. The main outcomes were the quality of care transition perceived by the patient, measured by a self-administered questionnaire, and patient satisfaction, measured by the Hospital Patient Satisfaction Questionnaire. Multilevel regression analysis was used to adjust for clustering and covariates. Results Among 177 patients (78 patients in the intervention group vs. 99 patients in the control group) from 17 clinics (8 vs. 9 clinics) who were admitted to hospitals during the study period, 112 patients with main outcomes were included in the analysis (45 patients vs. 67 patients). Quality of care transition was not statistically significantly different between groups (understanding of home care situations: 58.8 vs. 58.2, p = 0.88; preference on where to be cared for: 58.1 vs. 59.6, p = 0.67; goal for discharge: 71.9 vs. 70.9, p = 0.79; care coordination: 66.3 vs. 63.8, p = 0.56). Discussion Early care referral in care transition did not show effectiveness in the quality of care transition and patient satisfaction. Studies on information-sharing in the care transition from home to hospitals are needed.
日本居家虚弱老年患者早期护理信息传递的有效性:一项聚类随机试验
在从家庭到医院的护理过渡过程中,往往观察到由不同提供者治疗的体弱老年人面临的挑战。本研究评估早期照护资讯传递对日本急症住院的居家长者照护转换品质的影响。方法采用以门诊为聚类单位的聚类随机对照试验,选取65岁及以上家访护理后需住院急症护理的患者。主要结果是患者感知到的护理过渡质量(通过自我管理问卷测量)和患者满意度(通过医院患者满意度问卷测量)。采用多水平回归分析对聚类和协变量进行调整。结果在研究期间住院的17家诊所(8家对9家)177例患者(干预组78例对对照组99例)中,有主要结局的112例患者(45例对67例)被纳入分析。两组间护理过渡质量差异无统计学意义(对家庭护理情况的理解:58.8比58.2,p = 0.88;对护理地点的偏好:58.1比59.6,p = 0.67;出院目标:71.9 vs. 70.9, p = 0.79;护理协调:66.3比63.8,p = 0.56)。早期转诊对转诊质量和患者满意度没有显著影响。需要对从家庭到医院的护理过渡中的信息共享进行研究。
本文章由计算机程序翻译,如有差异,请以英文原文为准。
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来源期刊
CiteScore
3.10
自引率
14.30%
发文量
15
期刊介绍: The International Journal of Care Coordination (formerly published as the International Journal of Care Pathways) provides an international forum for the latest scientific research in care coordination. The Journal publishes peer-reviewed original articles which describe basic research to a multidisciplinary field as well as other broader approaches and strategies hypothesized to improve care coordination. The Journal offers insightful overviews and reflections on innovation, underlying issues, and thought provoking opinion pieces in related fields. Articles from multidisciplinary fields are welcomed from leading health care academics and policy-makers. Published articles types include original research, reviews, guidelines papers, book reviews, and news items.
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