Effect of a telephone care program after hospital discharge from a trauma surgery unit
Effect of a telephone care program after hospital discharge from a trauma surgery unit
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DOI：
10.1016/j.gaceta.2010.10.007
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发表时间：
2011-04-01
期刊：
影响因子：
1.9
通讯作者：
Reyes Sánchez, Isabel
中科院分区：
文献类型：
--
作者：
Herrera-Espiñeira, Carmen;Rodríguez del Águila, María del Mar;Reyes Sánchez, Isabel
目的：为了确定1个月的电话护理计划出院后的创伤外科单位的卫生服务利用和病人的焦虑和进行预算analysis.Methods的影响：我们进行了一项实验研究，在604例患者形成了实验组和对照组。实验组在出院后的第一个月内接受电话关怀以解决疑虑。在此期间之后，从两组中收集以下结果变量的数据：急诊科或家庭医生的就诊次数，再入院率和焦虑测试结果。数据分析包括逻辑和线性多变量分析以及该计划对医院、安达卢西亚卫生服务和国家卫生系统预算影响的计算。结果：共对60名患者进行了73次电话咨询，其中近一半是因为对治疗方案的怀疑。对于结果变量“急诊就诊”，在调整其他独立变量（住院天数、患者焦虑和对出院指征的理解）后的多变量分析中，无电话护理组的优势比为1.8。在其余结果变量中未发现组间差异。预算分析表明，实施该计划的成本为1.65（原文如此）per patient.Conclusions的可能性：该计划被证明是有效的，减少访问急诊科在一个低成本。(C)2009年SESPAS。出版社：Elsevier Espana，S.L. All rights reserved.
Objective: To determine the impact of a 1-month telephone care program after hospital discharge from a trauma surgery unit on health services utilization and patient anxiety and to perform a budgetary analysis.Methods: We carried out an experimental study in 604 patients who formed an experimental and a control group. The experimental group was offered telephone care to resolve doubts during the first month after discharge. After this period, data were collected from both groups on the following outcome variables: visits to the emergency department or family physician, hospital readmissions, and the results of an anxiety test. Data analyses included logistic and linear multivariate analyses and calculation of the budgetary impact of the program on the hospital, the Andalusian Health Service, and the National Health System.Results: A total of 73 telephone consultations were conducted with 60 patients, almost half for doubts about the therapeutic regimen. For the outcome variable "visit to emergency department", the group without telephone care had an odds ratio of 1.8 in the multivariate analysis adjusted for the other independent variables: days of hospital stay, patient anxiety and comprehension of discharge indications. No differences between groups were found in the remaining outcome variables. The budgetary analysis demonstrated the possibility of implementing the program at a cost of 1.65 (sic) per patient.Conclusions: This program proved effective in reducing visits to the emergency department at a low cost. (C) 2009 SESPAS. Published by Elsevier Espana, S.L. All rights reserved.