Value-based care of older people-The impact of an acute outreach service unit on emergency medical service missions: A quasi-experimental study.

IF 1.9 4区医学 Q2 NURSING

Scandinavian Journal of Caring Sciences Pub Date : 2024-03-01 Epub Date: 2023-10-08 DOI:10.1111/scs.13220

Lauri J Mäki, Perttu J Kontunen, Johanna M Kaartinen, Maaret K Castrén

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引用次数: 0

Abstract

Background: Transfers to the emergency department can be burdensome for the residents of long-term residential care facilities (LTRCFs) and often lead to adverse effects. Since March 2019, a nurse-led acute outreach service unit "Mobile hospital" (in Finnish, Liikkuva sairaala, LiiSa) has been providing on-site care to LTRCF residents to reduce transfers to the emergency department.

Methods: This study compares the numbers and acuities of emergency medical service (EMS) missions carried out in the LTRCFs of Espoo and Kauniainen during two six-month periods: before the implementation of LiiSa and with LiiSa in use. In Finland, EMS missions are divided into four categories (A-D), with category A missions being the most urgent. These categories were used to investigate the impact on mission acuities.

Results: Due to the implementation of LiiSa, the number of EMS missions decreased by 16.8% (95% confidence interval 10.6%-22.6%, p < 0.001), the number of category D missions by 19.8% (7.1%-30.8%, p = 0.003) and the number of category C missions by 30.3% (17.3%-41.3%, p < 0.001). Changes in the numbers of category A and B missions were not statistically significant.

Conclusions: LiiSa helped to avoid many transfers of frail LTRCF patients to the emergency department, and it did not hinder the care of patients with true emergencies by EMSs.

查看原文本刊更多论文

基于价值的老年人护理急性外展服务单位对紧急医疗服务任务的影响：一项准实验研究。

背景：对于长期住院护理机构（LTRCF）的居民来说，转移到急诊科可能是一项负担，并经常导致不良影响。自2019年3月以来，一家由护士领导的急性外展服务单位“流动医院”（芬兰语：Liikkuva sairaala，LiiSa）一直在为LTRCF居民提供现场护理，以减少转移到急诊科的人数。方法：本研究比较了在实施LiiSa之前和使用LiiSa的两个六个月期间，在埃斯波和考尼亚宁的LTRCF执行紧急医疗服务（EMS）任务的数量和准确性。在芬兰，EMS任务分为四类（A-D），其中A类任务最为紧迫。这些类别用于调查对任务敏锐性的影响。结果：由于LiiSa的实施，EMS任务数量减少了16.8%（95%置信区间10.6%-22.6%，p 结论：LiiSa有助于避免许多虚弱的LTRCF患者转移到急诊科，并且它不会阻碍EMS对真正紧急情况患者的护理。

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

Scandinavian Journal of Caring Sciences NURSING-

CiteScore

4.60

自引率

5.30%

发文量

期刊介绍： Scandinavian Journal of Caring Sciences is an established quarterly, peer reviewed Journal with an outstanding international reputation. As the official publication of the Nordic College of Caring Science, the Journal shares their mission to contribute to the development and advancement of scientific knowledge on caring related to health, well-being, illness and the alleviation of human suffering. The emphasis is on research that has a patient, family and community focus and which promotes an interdisciplinary team approach. Of special interest are scholarly articles addressing and initiating dialogue on theoretical, empirical and methodological concerns related to critical issues. All articles are expected to demonstrate respect for human dignity and accountability to society. In addition to original research the Journal also publishes reviews, meta-syntheses and meta-analyses.