医院基于价值的采购和30天再入院:医院准备好了吗?

IF 1.2 4区 医学 Q3 NURSING
Nursing Economics Pub Date : 2016-05-01
D Rob Haley, Mei Zhao, Aaron Spaulding
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引用次数: 0

摘要

为了更好地了解医院的总绩效评分(TPS)与非计划再入院之间的关系,我们采用多元线性回归分析来检验医院TPS与急性心肌梗死(AMI)、心力衰竭(HF)和肺炎(PN)再入院率之间的关系。医院TPS与AMI、HF和PN再入院率呈显著负相关。医院TPS越高,AMI、HF和PN患者的再入院率越低。拥有较高医疗保险和医疗补助病人的医院在所有三种情况下的再入院率都较高。TPS方法可能会发展为包括评估医院质量和支付的额外措施或维度。决策者和医院管理者应考虑其他结构要素和流程措施,以评估和提高患者安全和质量。
本文章由计算机程序翻译,如有差异,请以英文原文为准。
Hospital Value-Based Purchasing And 30-Day Readmissions: Are Hospitals Ready?

To better understand the relationship between a hospital's Total Performance Score (TPS) and unplanned readmissions, a multivariate linear regression analysis was used to examine the relationship between hospital TPS and readmission rates for acute myocardial infarction (AMI), heart failure (HF), and pneumonia (PN). Hospital TPS was significantly and inversely related to AMI, HF, and PN readmission rates. The higher the hospital TPS, the lower the readmission rates for patients with AMI, HF, and PN. Hospitals with higher Medicare and Medicaid patients had higher readmission rates for all three conditions. The TPS methodology will likely evolve to include additional measures or dimensions to assess hospital quality and payment. Policymakers and hospital administrators should consider other structure elements and process measures to assess and improve patient safety and quality.

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来源期刊
Nursing Economics
Nursing Economics 医学-护理
自引率
16.70%
发文量
0
期刊介绍: Nursing Economic$ advances nursing leadership in health care, with a focus on tomorrow, by providing information and thoughtful analyses of current and emerging best practices in health care management, economics, and policymaking. The journal supports nurse leaders and others who are responsible for directing nursing''s impact on health care cost and quality outcomes. The journal is published six times per year.
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