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首页> 外文期刊>Aging clinical and experimental research >Effectiveness of a community care management program for multimorbid elderly patients with heart failure in the Veneto Region
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Effectiveness of a community care management program for multimorbid elderly patients with heart failure in the Veneto Region

机译：威尼托地区心力衰竭心力衰竭患者社区护理管理计划的有效性

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BackgroundThe rapidly growing population of elderly subjects with multimorbidity is at risk of receiving fragmented and uncoordinated care, and have frequent hospitalizations and emergency room (ER) visits.AimsThe study aims to describe the impact of a care management program (CMP) developed in the Veneto region (Northeastern Italy) for patients affected by chronic heart failure (CHF) and multimorbidity.MethodsThe CMP was provided to 330 patients 65years suffering from CHF and multimorbidity. They were compared to a propensity score matched reference group who received usual care. The intervention was provided by care manager nurses and General Practitioners working in the community. The quality of care from the patients' perspective was assessed by means of the Patient Assessment of Chronic Illness Care (PACIC). The effectiveness of the CMP has been evaluated comparing time changes in hospital admissions in the medical area and ER visits between the intervention and the reference group.ResultsThe median PACIC overall score was 4 out of 5. The intervention group showed a reduction over time by 39% in hospitalization rates and by 33% in ER visits. The recourse to hospital care and ER did not change in the reference group.DiscussionThe current results indicate that a CMP can reduce Emergency Room visits and hospital admissions for elderly patients with CHF and multimorbidity.ConclusionsThe CMP by emphasizing prevention, self-management, continuity and coordination of care, is beneficial among older community-dwelling multimorbid persons as compared to usual care.
机译：背景技术随着多药物的迅速生长的老年人人口有可能接受碎片和不协调的护理，并且频繁住院和急诊室（ER）访问。Mainsthe研究旨在描述威尼托的护理管理计划（CMP）的影响地区（东北北部）对于受慢性心力衰竭（CHF）和多重药物影响的患者。将CMP提供给330名患者＆GT; 65年患有CHF和多重药的患者。它们与接受通常护理的倾向分数匹配匹配的参考组进行比较。干预由护理经理护士和在社区工作的全科医生提供。通过对慢性疾病护理（SaciC）的患者评估评估患者观点的护理质量。已经评估了CMP的有效性，比较了医疗区域的医院入学时间变化以及干预和参考组之间的静态访问。介质天使的总成绩为4分..干预组显示随着时间的推移减少39住院费率的百分比和er次数达到33％。求助于医院护理和ER的诉诸于参考组。目前的结果表明，CMP可以减少急诊室访问和老年CHF患者的医院录取CHF和多重药。CMP通过强调预防，自我管理，连续性和与普通护理相比，关心的协调，在较旧的社区住宅多年多压人中是有益的。

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