美国长期护理机构减少可避免住院策略研究及对我国的启示
Strategies for Reducing Potentially Preventable Hospitalizations in U.S.Long-Term Care Facilities and Implications for China
辛然 1李雪玉 2柴培培 3万泉 3张玉卓4
作者信息
- 1. 中国医科大学护理学院 辽宁 沈阳 110122
- 2. 中国人民解放军北部战区总医院护理部 辽宁 沈阳 110000
- 3. 国家卫生健康委卫生发展研究中心 北京 100044
- 4. 昆明医科大学公共卫生学院 云南 昆明 650500
- 折叠
摘要
探讨美国降低长期护理机构老年人可避免住院(Potentially Preventable Hospitalizations,PPHs)改革策略,借鉴其经验,为我国相关政策制定提供参考.美国通过建立完善的长期照护服务体系、实施临床干预和医保激励措施,有效降低了PPHs发生率和医疗支出.通过分析类似措施成效和问题,提出我国应在明确护理机构功能定位、强化激励约束机制、完善护理人员培训、建立评估机制和加强数据驱动的决策支持等方面进行改革,旨在构建符合我国国情的长期护理服务体系,降低PPHs的发生率,提升护理服务质量及效率.
Abstract
Based on discussing the U.S.strategies for reducing potentially preventable hospitalizations(PPHs)among elderly residents in long-term care facilities,the experiences are explored to provides insights for policy development in China.The U.S.has effectively lowered PPH rates and healthcare costs through a comprehensive long-term care service system,clinical interventions,and incentives.Analyzing the effectiveness and challenges of these measures suggests that China should conduct the reform by clarifying the roles of care institutions,strengthening incentive mechanisms,improving caregiver training,establishing evaluation systems,and enhancing data-driven decision support.It aims to develop a long-term care system tailored to China,reduce PPH rates,and improve the quality and efficiency of nursing services.
关键词
可避免住院/长期护理机构/长期护理/美国Key words
potentially preventable hospitalizations/long-term nursing facilities/long-term nursing/US引用本文复制引用
出版年
2024
NETL
NSTL
万方数据