Sinyoung Park, Hanadi Y Hamadi, Allison Carrier, Jing Xu, Aaron Spaulding, Mei Zhao
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引用次数: 0
Abstract
This study examined hospital-community partnership effects on 30-day readmission rates across 2,484 U.S. hospitals. Fixed effect linear models analyzed the impact of three partnership types across community strata. In average-to-low need communities, healthcare system partnerships reduced hospital-wide, heart failure, pneumonia, and THA/TKA readmissions, while local agency partnerships reduced hospital-wide, heart failure, and pneumonia rates. In high-need communities, all partnership types significantly decreased COPD and pneumonia readmissions, with community-based partnerships also reducing hospital-wide rates. Healthcare system partnerships showed the strongest effect on COPD reduction (β = -0.56, p < 0.001). These findings suggest partnerships may reduce readmissions, with stronger effects in high-need communities.
这项研究调查了2484个美国医院-社区合作对30天再入院率的影响医院。固定效应线性模型分析了三种伙伴关系类型对社区各阶层的影响。在平均到低需求社区，卫生保健系统伙伴关系降低了全院范围、心力衰竭、肺炎和THA/TKA再入院率，而地方机构伙伴关系降低了全院范围、心力衰竭和肺炎率。在高需求社区，所有类型的伙伴关系都显著降低了慢性阻塞性肺病和肺炎的再入院率，以社区为基础的伙伴关系也降低了全医院的再入院率。医疗保健系统伙伴关系对COPD的减少效果最强(β = -0.56, p
期刊介绍：
Hospital Topics is the longest continuously published healthcare journal in the United States. Since 1922, Hospital Topics has provided healthcare professionals with research they can apply to improve the quality of access, management, and delivery of healthcare. Dedicated to those who bring healthcare to the public, Hospital Topics spans the whole spectrum of healthcare issues including, but not limited to information systems, fatigue management, medication errors, nursing compensation, midwifery, job satisfaction among managers, team building, and bringing primary care to rural areas. Through articles on theory, applied research, and practice, Hospital Topics addresses the central concerns of today"s healthcare professional and leader.
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