Maria B Mateo Chavez, Andrea Moran-Melendez, Lucy Salter, Lisa Vaughan, Ricardo J Loor-Torres, Robert Albright, Sandhya Manohar, Ziad Zoghby, Andrea Kattah, Lourdes Gonzalez Suarez, Katie Rose, Vicky Hines, Daniel A Gonzalez-Mosquera, Satya Sri Bandi, Kasey R Boehmer
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引用次数: 0
摘要
背景:慢性肾脏疾病(CKD)是一个全球性的重大公共卫生问题。它的进步性质要求创新的护理模式,以减轻疾病进展和提高患者的结果。跨学科的临床模式可以为CKD患者提供量身定制的综合护理。本研究的目的是评估跨学科CKD临床对疾病进展、医疗保健利用和健康的社会决定因素(SDOH)的影响。方法:我们在明尼苏达州罗彻斯特的梅奥诊所进行了一项回顾性队列研究。该研究包括534名在2021年3月5日至2022年5月31日期间在CKD诊所登记的患者,不包括那些选择退出研究的患者。干预包括临床登记和跨学科团队提供循证护理途径,患者教育,共同决策和护理协调。评估的主要结果是CKD进展和医疗保健利用,而次要结果检查了健康的社会决定因素(SDOH)的影响。结果:入组时,中位年龄为73岁(IQR 64-79), 60%为IV期或更低。诊所实施与住院率降低26%(发病率比[IRR] 0.74, 95%可信区间[CI] 0.60-0.91, p=0.004)和急诊就诊减少30% (IRR 0.70, 95% CI 0.57-0.87, p=0.001)相关。肾脏病咨询增加了46% (IRR 1.46, CI 1.34-1.60)。结论:注册支持的跨学科CKD诊所可能会降低CKD患者的医疗保健利用率,SDOH在疾病管理中发挥关键作用。