Patients' Use of Multiple Hospitals in a Major US City: Implications for Population Management
Patients' Use of Multiple Hospitals in a Major US City: Implications for Population Management
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DOI：
10.1089/pop.2016.0021
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发表时间：
2017-04-01
影响因子：
2.5
通讯作者：
Kaushal, Rainu
中科院分区：
文献类型：
--
作者：
Kern, Lisa M.;Grinspan, Zachary;Kaushal, Rainu
了解患者从多家医院寻求护理的频率对于个人和人群的护理非常重要，但由于缺乏数据，无法进行常规测量。这项研究使用来自健康信息交换（HIE）的数据来衡量患者从多家医院寻求护理的频率。这是一项回顾性队列研究（2010-2011年），纳入了在曼哈顿6家参与医院寻求急诊（艾德）或住院治疗的所有患者。该研究发现，所有6家医院与其他医院共享患者，所有艾德就诊的10.0%和所有入院的9.1%是过去12个月内在不同医院就诊的患者。患者经常在多家医院就诊，这对临床护理和人口管理提出了挑战。通过捕捉患者在何时何地就诊，HIE非常适合促进人群管理。
Understanding how often patients seek care from multiple hospitals is important for care of individuals and populations, but it is not routinely measured because of lack of data. This study used data from a health information exchange (HIE) to measure the frequency with which patients seek care from multiple hospitals. This was a retrospective cohort study (2010-2011) of all patients who sought emergency department (ED) or inpatient care at 6 participating hospitals in Manhattan. The study found that all 6 hospitals shared patients with each of the other hospitals and that 10.0% of all ED visits and 9.1% of all admissions were for patients who had been seen in a different hospital in the past 12 months. Patients are frequently seen by multiple hospitals, which poses a challenge for clinical care and population management. By capturing which patients are seen where and when, HIEs are well suited for facilitating population management.