家庭医院:全面医疗保健的发展模式。

Henil Y Patel, Daniel J West
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引用次数: 2

摘要

家庭医院(HaH)是一种可持续的、创新的下一代医疗保健模式。从医疗保健管理的角度来看,这种模式提供了成本效益和质量改进,从医生的角度来看,它有助于提供以患者为中心的医疗服务,使患者远离住院及其并发症。HaH模式于1995年在美国约翰霍普金斯大学首次引入,在住院时间、再入院率、患者满意度和医院获得性感染等方面显示出非常有希望的结果。HaH护理模式为患者在家中提供急性重症护理,并减少不必要的住院治疗和相关并发症。这种护理模式的确定患者是患有慢性疾病和多种合并症的老年患者。当今世界技术的出现和2019年冠状病毒病(COVID-19)的影响增加了对医疗保健模式的需求。虽然有很多好处和优势,但HaH模式的护理有明显的障碍和局限性,如支付报销,医生和患者的抵抗,患者安全,以及缺乏量化的研究数据来支持该模式的使用。对医生、护理人员和HaH多学科团队的其他成员进行专门培训对于HaH治疗方案是必要的,同时对选择HaH治疗模式的患者和家庭护理人员进行教育也是必要的。HaH是综合医疗保健服务的未来,有助于实现获得医疗保健、提高医疗质量和降低医疗保健成本的三重目标。
本文章由计算机程序翻译,如有差异,请以英文原文为准。

Hospital at Home: An Evolving Model for Comprehensive Healthcare.

Hospital at Home: An Evolving Model for Comprehensive Healthcare.

Hospital at Home: An Evolving Model for Comprehensive Healthcare.

Hospital at Home: An Evolving Model for Comprehensive Healthcare.

Hospital at Home (HaH) is a sustainable, innovative, and next-generation model of healthcare. From the healthcare management point of view, this model provides cost benefits and quality improvement, and from the physicians' point of view, it helps in providing patient-centered medical care and keeps patients away from hospital admission and its complications. The HaH model was first introduced at John Hopkins in the United States in 1995, which showed very promising results in context to the length of stay, readmission rates, patient satisfaction, and hospital-acquired infections. The HaH model of care provides acute critical care to patients at home and reduces unnecessary hospitalization and related complications. The identified patients for this model of care are elderly patients with chronic conditions and multiple comorbidities. The emergence of technology in today's world and the impact of coronavirus disease 2019 (COVID-19) have increased the demand for the HaH model of care. Although there are many benefits and advantages, the HaH model of care has significant barriers and limitations, such as reimbursement for payment, physician and patient resistance, patient safety, and lack of quantifying research data to support the use of this model. Specific training for the physician, nursing, and other members of the HaH multidisciplinary team is necessary for HaH treatment protocols, along with patient and family caregiver education for those who elect the HaH model of care. HaH is the future of comprehensive healthcare services and helps in achieving the triple aim of access to healthcare, improved quality of care, and reduced cost for healthcare.

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