Nursing home revenue source and information availability during the emergency department evaluation of nursing home residents.
Nursing home revenue source and information availability during the emergency department evaluation of nursing home residents.
复制标题
疗养院居民急诊科评估期间疗养院收入来源和信息可用性。
DOI：
10.1016/j.jamda.2010.12.009
复制
发表时间：
2012
影响因子：
7.6
通讯作者：
Kizer,JohnS
中科院分区：
文献类型：
--
作者：
Platts-Mills,TimothyF;Biese,Kevin;LaMantia,Michael;Zamora,Zeke;Patel,LauraN;McCall,Brenda;Egbulefu,Fortune;Busby-Whitehead,Jan;Cairns,CharlesB;Kizer,JohnS
护理人员在急诊科（艾德）评估期间缺乏获得医疗信息的途径是高质量护理的障碍。我们假设，在艾德的信息量不同的基础上，居民的养老院的资金来源。EQUGNCross-sectional observational study.SETTINGSingle academic艾德.ParticipantsParticipants是128熟练的护理设施（SNF）居民年龄65岁或以上，从12 SNFs.MEASUREMENTSEmergency医生记录的9个基本信息项目的知识。SNF分为接受或不接受Medicaid。完成了128例患者的问卷调查，其中95例（74%）来自8个Medicaid资助的SNF中的1个，33例（26%）来自4个不接受Medicaid的SNF中的1个。接受医疗补助的SNF患者更年轻（79比87，P < .001），白色患者更少（62%比97%，P < .001）。接受医疗补助的SNF患者的9个可能信息项的平均数较低（7.13对8.15，P < .001）。急诊服务提供者还报告了接受医疗补助的SNF居民获得信息的满意度较低（P < .05）。居住在接受医疗补助的SNF与较低的艾德信息评分之间的关联在线性回归后仍然存在，SNF控制了年龄、性别和种族。从这两种类型的SNFs的居民最常见的信息来源是从SNF.CONCLUSIONLESS信息提供给艾德供应商的SNFs接受医疗补助的患者比从SNFs不接受医疗补助的居民。需要进一步研究，以审查这一信息差距。
OBJECTIVESLack of access to medical information for nursing home residents during emergency department (ED) evaluation is a barrier to quality care. We hypothesized that the quantity of information available in the ED differs based on the funding source of the resident’s nursing home.DESIGNCross-sectional observational study.SETTINGSingle academic ED.PARTICIPANTSParticipants were 128 skilled nursing facility (SNF) residents age 65 or older from 12 SNFs.MEASUREMENTSEmergency physicians documented knowledge of 9 essential information items. SNFs were categorized as accepting or not accepting Medicaid.RESULTSQuestionnaires were completed for 128 patients, of whom 95 (74%) were from 1 of 8 Medicaid-funded SNFs and 33 (26%) were from 1 of 4 SNFs not accepting Medicaid. Patients from SNFs accepting Medicaid were younger (79 versus 87, P < .001) and less frequently white (62% versus 97%, P < .001). The mean number of 9 possible information items available was lower for patients from SNFs that accept Medicaid (7.13 versus 8.15, P < .001). Emergency providers also reported lower satisfaction regarding access to information for residents from SNFs that accept Medicaid (P < .05). The association between residence in an SNF that accepts Medicaid and lower ED information scores remained after linear regression with clustering by SNF controlling for age, gender, and race. The most common source of information for residents from both types of SNFs was transfer papers from the SNF.CONCLUSIONLess information is available to ED providers for patients from SNFs that accept Medicaid than for residents from SNFs that do not accept Medicaid. Further study is needed to examine this information gap.