Reducing hospital admissions and transfers to long-term inpatient care: A systematic literature review.

IF 1.6 Q3 HEALTH POLICY & SERVICES Health Services Management Research Pub Date : 2023-02-01 DOI:10.1177/09514848211068620
Stephan Herberg, Frank Teuteberg
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引用次数: 3

Abstract

Individuals in need of long-term care and their relatives prefer to receive and give care in their domestic environment for as long as possible. Residential long-term care is to be avoided for as long as possible. To achieve this goal, the care setting must be optimally oriented to the needs of the person in need of care. Moreover, relatives who provide care must be professionally supported. The Regional Care Competence Center (ReKo), launched on October 1, 2019, is a quasi-experimental study (two groups and pre-post design), funded by the Innovation Fund. As part of the ReKo project, people in need of care and their relatives are assisted by a case management (CM) system. An independent CM, supported by an IT network that includes the most important service providers, is to establish a comprehensive CM for people in need of care. Based on a literature review, this paper aimed to take a conceptual approach to the ReKo project by drawing on previous research and comparing the findings with the ReKo approach. The review considered CM projects that defined avoidance of hospitalization and/or delay in the transition of care recipients to long-term inpatient care as endpoints. Using PubMed and Google Scholar, the study screened 270 articles, abstracted and quality-assessed data, and included eight randomized clinical trials, two other studies, and seven reviews in the analysis. The review results and ReKo approaches are presented along the dimensions of clinical and medical benefits, community and public health benefits, economic benefits, and political and legislative benefits. CM organizations will continue to be established internationally in aging societies. The questions of improving quality of care, avoiding service costs, and the costs of establishing a CM must be raised, even if clear evidence is difficult to provide.

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减少住院和转移到长期住院治疗:系统的文献综述。
需要长期护理的个人及其亲属希望尽可能长时间地在其家庭环境中接受和给予护理。应尽量避免长期住宿护理。为了实现这一目标,护理环境必须以需要护理的人的需求为最佳导向。此外,提供护理的亲属必须得到专业支持。区域护理能力中心(ReKo)于2019年10月1日启动,是一项准实验研究(两组和前后设计),由创新基金资助。作为ReKo项目的一部分,需要照顾的人及其亲属得到病例管理系统的协助。由包括最重要的服务提供者的IT网络支持的独立的CM是为需要护理的人建立一个全面的CM。在文献综述的基础上,本文旨在通过借鉴以往的研究,并将研究结果与ReKo方法进行比较,对ReKo项目采取概念性方法。本综述考虑了以避免住院和/或延迟接受护理者向长期住院治疗过渡为终点的CM项目。利用PubMed和Google Scholar,该研究筛选了270篇文章,对数据进行了摘要和质量评估,包括8个随机临床试验、2个其他研究和7个分析综述。从临床和医疗效益、社区和公共卫生效益、经济效益以及政治和立法效益等方面介绍了审查结果和ReKo方法。在老龄化社会中,CM组织将继续在国际上建立。必须提出提高护理质量、避免服务成本和建立CM成本的问题,即使很难提供明确的证据。
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来源期刊
Health Services Management Research
Health Services Management Research HEALTH POLICY & SERVICES-
CiteScore
4.00
自引率
4.80%
发文量
33
期刊介绍: Health Services Management Research (HSMR) is an authoritative international peer-reviewed journal which publishes theoretically and empirically rigorous research on questions of enduring interest to health-care organizations and systems throughout the world. Examining the real issues confronting health services management, it provides an independent view and cutting edge evidence-based research to guide policy-making and management decision-making. HSMR aims to be a forum serving an international community of academics and researchers on the one hand and healthcare managers, executives, policymakers and clinicians and all health professionals on the other. HSMR wants to make a substantial contribution to both research and managerial practice, with particular emphasis placed on publishing studies which offer actionable findings and on promoting knowledge mobilisation toward theoretical advances.
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