Evaluation of the Cincinnati Veterans Affairs Medical Center Hospital-in-Home Program
Evaluation of the Cincinnati Veterans Affairs Medical Center Hospital-in-Home Program
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DOI：
10.1111/jgs.15382
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发表时间：
2018-07-01
影响因子：
6.3
通讯作者：
Intrator, Orna
中科院分区：
文献类型：
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作者：
Cai, Shubing;Grubbs, Andrew;Intrator, Orna
目的 调查接受家庭医院 (HIH) 服务的退伍军人的再入院率、费用、死亡率和入住疗养院的情况。设计回顾性队列研究。设置辛辛那提退伍军人事务医疗中心 (VAMC)。参与者研究队列包括在 2012 年 10 月 1 日至 2015 年 11 月 30 日期间接受 HIH 服务作为住院护理替代方案的退伍军人，以及 同一时期在辛辛那提 VAMC 因类似情况住院的非 HIH 退伍军人。我们确定了 138 名使用 HIH 服务的退伍军人和 694 名非 HIH 退伍军人。干预 HIH 退伍军人在家中接受了医院同等的护理。非 HIH 退伍军人在辛辛那提 VAMC 接受传统住院服务。测量治疗急性发作的总护理费用（HIH 服务与住院患者）以及从 HIH 服务出院或住院后 30 天内再次入院、死亡或入住疗养院的可能性。结果平均每人 HIH 服务费用为 7,792 美元，传统住院护理费用为 10,960 美元 （P
ObjectivesTo examine hospital readmissions, costs, mortality, and nursing home admissions of veterans who received Hospital-in-Home (HIH) services.DesignRetrospective cohort study.SettingCincinnati Veterans Affairs Medical Center (VAMC).ParticipantsStudy cohort included veterans who received HIH services as an alternative to inpatient care between October 1, 2012, and November 30, 2015, and non-HIH veterans who were hospitalized for similar conditions in the Cincinnati VAMC during the same period. We identified 138 veterans who used HIH services and 694 non-HIH veterans.InterventionHIH veterans received hospital-equivalent care at home. Non-HIH veterans received traditional inpatient services in the Cincinnati VAMC.MeasurementsTotal costs of care for treating an acute episode (HIH services vs inpatient) and likelihood of hospital readmission, death, or nursing home admission within 30 days of discharge from HIH services or hospitalization.ResultsAverage per person costs were $7,792 for HIH services and $10,960 for traditional inpatient care (P