کد مقاله کد نشریه سال انتشار مقاله انگلیسی نسخه تمام متن
5881366 1147793 2015 6 صفحه PDF دانلود رایگان
عنوان انگلیسی مقاله ISI
Brief Quality Improvement ReportReduction of Acute Hospital Admissions and Improvement in Outpatient Attendance by Intensified Renal Palliative Care Clinic Follow-Up: The Hong Kong Experience
ترجمه فارسی عنوان
گزارش کیفی کیفیت کاهش دریافت بیماران حاد و بهبود در مراکز سرپایی توسط پیگیری کلینیک مراقبت های پایدارکننده کلیه تقویت شده: تجربه هنگ کنگ
کلمات کلیدی
مراقبت پلاسیایی کلیه، درمانگاه، پیگیری مراقبت تسکین دهنده، دفاتر اورژانسی، بستری شدن بهبود کیفیت،
موضوعات مرتبط
علوم زیستی و بیوفناوری علم عصب شناسی عصب شناسی
چکیده انگلیسی

BackgroundEnd-stage renal failure patients often fail to attend scheduled renal palliative care clinic (RPCC) follow-up because of acute hospital admissions, causing negative impact on patients' well-being and health care burden.MeasuresThe rates of RPCC attendance, emergency department (ED) attendance, and acute hospital admission per patient from January 2013 to June 2013 were analyzed.InterventionPatients who had more than one ED visit within three months were invited to intensify their RPCC follow-up schedule for symptom assessment, medical advice, psychosocial-spiritual care, and social worker support in the subsequent three months.OutcomesNineteen patients were included. The rate of ED attendance (2.63 vs. 0.63, P < 0.007) and acute hospital admission (1.59 vs. 0.58, P < 0.009) was reduced significantly after intensified follow-up. Clinic attendance rates improved from 56% to 85%.Conclusions/Lessons LearnedOur pilot results suggested that intensifying RPCC follow-up minimized the utilization of acute medical services and improved outpatient attendance at RPCC.

ناشر
Database: Elsevier - ScienceDirect (ساینس دایرکت)
Journal: Journal of Pain and Symptom Management - Volume 49, Issue 1, January 2015, Pages 144-149
نویسندگان
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