印度尼西亚两家地区公立医院投保患者的医疗质量。

IF 2 Q2 NURSING Journal of Holistic Nursing Pub Date : 2024-06-01 Epub Date: 2024-02-04 DOI:10.1177/08980101241229481
Rini Rachmawaty, Elly Wahyudin, Agussalim Bukhari, Andi Wardihan Sinrang, Gavrila Lenny Satar, Arfiani Juhran
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引用次数: 0

摘要

背景:医院必须提高为患者提供的医疗服务质量。目的:评估并比较在印尼两家地区公立医院住院的投保患者所接受的医疗服务质量。方法使用描述性分析和交叉分析确定被归类为高数量、高风险和高成本的 INA-CBGs 诊断。结果在 A 医院造成经济损失的住院病人中,2019 年为 21.1%,2020 年为 19.8%;在 B 医院造成经济损失的住院病人中,2019 年为 30.3%,2020 年为 27.5%。在这些入院患者中,B 医院有 5%的患者在 30 天内再次入院,尽管 90% 以上的患者之前已根据医生的批准出院。结论参保患者接受的医疗服务质量不高。因此,强烈建议采用基于专业护理实践的综合临床路径模式,以提高患者的治疗效果并降低 30 天内再入院率。
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Healthcare Quality Received by Insured Patients in Two Indonesian Regional Public Hospitals.

Background: Hospitals are required to improve the quality of health services provided to patients. Purpose: Evaluating and comparing the healthcare quality received by insured patients hospitalized in two Indonesian regional public hospitals. Methods: Secondary data analysis used the 2019 and 2020 Indonesian National Health Insurance e-claim databases of Hospital A and Hospital B. Descriptive and crosstabs analyses were used to determine INA-CBGs diagnoses that were categorized as high volume, high risk, and high cost. Results: The admissions that caused financial loss at the Hospital A were 21.1% in 2019 and 19.8% in 2020, while 30.3% in 2019 and 27.5% at the Hospital B. More than 60% of these admissions were placed in the 3rd class of inpatient wards of the two hospitals. Of these admissions, < 5% at the Hospital A and >5% at the Hospital B were readmitted within 30 days, although more than 90% were previously discharged based on physicians' approval. Conclusions: Inadequate healthcare quality received by insured patients. Hence, an integrated clinical pathways based professional nursing practice model is highly recommended to increase patient outcomes and decrease 30 days hospital readmission rates.

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来源期刊
CiteScore
4.30
自引率
10.00%
发文量
39
期刊介绍: Manuscripts are solicited that deal with the processes of knowledge development and application including research, concept analysis and theory development, practical applications of research and theory, clinical case studies and analysis, practice applications in general, educational approaches and evaluation, and aesthetic expressions of holistic knowledge. While the journal seeks to support work grounded in evidence, the editorial philosophy suggests that there are many diverse sources of “evidence” beyond the realm of what is called “empirical” and that many methods are appropriate for discovering evidence and generating knowledge.
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