...
  • 主题
高级搜索  >
历史搜索 清空历史
首页> 外文期刊>The American Journal of Surgery >Local access to care programs increase trauma patient follow-up compliance
【24h】

Local access to care programs increase trauma patient follow-up compliance

机译：本地访问护理计划可提高对创伤患者的随访依从性

获取原文
获取原文并翻译 | 示例
   

获取外文期刊封面封底 >>

       
页面导航
  • 摘要
  • 著录项
  • 相似文献
  • 相关主题

摘要

Background Inadequate follow-up of uninsured trauma patients after discharge remains a major challenge for trauma programs. Local access to care programs (LACPs) have been developed to improve access to health care to the uninsured. We hypothesized that enrollment in LACP would improve postdischarge follow-up of uninsured trauma patients. Methods Study population consisted of 5,830 uninsured trauma patients from 2006 to 2011, treated at a large urban level-I trauma center. Patients with burn injuries, transfers to another acute-care facility, and those who died or who left against medical advice were excluded. Patients who enrolled in our LACP were compared with those who did not to determine the relationship between enrollment in LACP and postdischarge follow-up, while controlling for injury severity, demographics, and discharge disposition. Results Patients in LACP were significantly more likely to schedule follow-up appointments after discharge (odds ratio = 1.78; 95% confidence interval, 1.51 to 2.10) and to comply with them (odds ratio = 2.44; 95% confidence interval, 1.98 to 2.99). However, 30-day readmission rates were similar in the 2 groups (1.1% vs 1.9%). Conclusions Enrollment in the LACP was associated with improved postdischarge follow-up but not readmissions.
机译：背景出院后未投保的创伤病人的随访不足仍然是创伤计划的主要挑战。已经开发了当地的护理方案（LACP），以改善未保险者获得保健的机会。我们假设加入LACP可以改善未投保创伤患者的出院后随访。方法研究人群包括2006年至2011年的5,830名无保险的创伤患者，这些患者在城市一级I创伤中心接受治疗。烧伤，转移到另一家急症室的患者以及死亡或遗弃医疗建议的患者被排除在外。将参加我们LACP的患者与未确定LACP的患者与出院后随访之间的关系进行比较，同时控制损伤的严重程度，人口统计学和出院情况。结果LACP患者出院后更有可能安排随访预约（赔率= 1.78; 95％置信区间为1.51至2.10）并符合要求（赔率= 2.44; 95％置信区间为1.98至2.99） ）。但是，两组的30天再入院率相似（1.1％对1.9％）。结论LACP入院与出院后随访改善有关，但与再次入院无关。

著录项

相似文献

  • 外文文献
  • 中文文献
  • 专利
获取原文

客服邮箱：kefu@zhangqiaokeyan.com

京公网安备：11010802029741号 ICP备案号：京ICP备15016152号-6 六维联合信息科技 (北京) 有限公司©版权所有

  • 客服微信

  • 服务号