A Multidisciplinary Approach to Impact Acute Care Utilization in Sickle Cell Disease
A Multidisciplinary Approach to Impact Acute Care Utilization in Sickle Cell Disease
复制标题
DOI：
10.1177/1062860617707262
复制
发表时间：
2018-03-01
影响因子：
1.4
通讯作者：
Pulte, Dianne
中科院分区：
文献类型：
--
作者：
Powell, Rhea E.;Lovett, Paris B.;Pulte, Dianne
镰状细胞病（SCD）是一种遗传性红细胞疾病，其特征是贫血、终末器官损伤、不可预测的疼痛发作和早期死亡。急诊科（艾德）就诊和住院频繁，导致患者负担加重，医疗费用增加。本研究评估了多学科护理团队干预对成人SCD急性护理利用的影响。多学科护理团队干预包括每月的团队会议和制定个性化的护理计划。个性化护理计划包括针对性疼痛管理计划，用于管理无并发症的疼痛危象。实施多学科护理团队干预后，在有高艾德利用史的个体中，发现艾德利用率显著下降。研究结果强调了多学科干预的潜在优势，并建议针对高利用率亚群的干预措施可能会产生最大的影响。
Sickle cell disease (SCD), an inherited red blood cell disorder, is characterized by anemia, end-organ damage, unpredictable episodes of pain, and early mortality. Emergency department (ED) visits and hospitalizations are frequent, leading to increased burden on patients and increased health care costs. This study assessed the effects of a multidisciplinary care team intervention on acute care utilization among adults with SCD. The multidisciplinary care team intervention included monthly team meetings and development of individualized care plans. Individualized care plans included targeted pain management plans for management of uncomplicated pain crisis. Following implementation of the multidisciplinary care team intervention, a significant decrease in ED utilization was identified among those individuals with a history of high ED utilization. Findings highlight the potential strength of multidisciplinary interventions and suggest that targeting interventions toward high-utilizing subpopulations may offer the greatest impact.