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首页> 外文期刊>Journal of diabetes >Changes in hospital admissions and inpatient tariff associated with a Diabetes Integrated Care Initiative: Preliminary findings
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Changes in hospital admissions and inpatient tariff associated with a Diabetes Integrated Care Initiative: Preliminary findings

机译：住院,住院病人的变化关税与糖尿病相关的综合护理倡议:初步结果

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Background: The Diabetes Integrated Care Initiative (DICI) has tested whether hospital admissions and total amounts paid for inpatient care have declined through closer (integrated) working between primary, secondary and community diabetes services in Cambridgeshire. Method: Poisson regression models were used to compare the percentage change in hospital admissions, and tariff paid, before and after each of 43 months (April 2007 - November 2010). East Cambridgeshire and Fenland (ECF) practices were divided into those fully (n=10) and less (n=7) "engaged" with the intervention defined by the extent of their uptake of intervention components between July 2009 and June 2010. Other parts of the county were "controls". Results: Among patients with diabetes in the fully engaged ECF practices, the monthly average hospital admission rate was 19.0% (13.9, 24.2) higher (7.7 hospital admissions per 1000 patients) and the monthly tariff paid was 28.8% (28.7, 28.9) higher (￡19.60 per patient per month), at the time of introducing the DICI versus the pre-implementation period (April 2007 to June 2009). These differences, had dropped to 8.7% (1.9, 15.6) and 13.4% (13.2, 13.5) (￡9.92 per patient per month) higher 12 months after introduction. Comparable reductions in the rate of increase were not seen among those without diabetes or in control areas. Conclusion: During the DICI, patients with diabetes from "fully engaged" practices experienced increased hospitalization and amount paid for in-patient care, the extent of which trended downwards by 12 months. Further time is needed to monitor whether this trend is sustained.
机译：背景:糖尿病综合治疗倡议(DICI)已经测试了医院招生数量和总住院支付护理拒绝通过密切(综合)工作之间的小学、中学和社区糖尿病在剑桥郡的服务。泊松回归模型进行比较住院的比例变化支付关税,43个月前后(2007年4月- 2010年11月)。被分成和沼泽地(ECF)实践那些完全(n = 10)和更少的(n = 7)定义的干预程度吸收的干预组件在7月2009年和2010年6月。“控制”。糖尿病在全力ECF实践,月平均住院率为19.0%(13.9, 24.2)高(7.7住院1000名患者)和每月支付关税28.8%(28.7, 28.9)高(￡19.60每人月),引入DICI时而是否有时期(2007年4月2009年6月)。8 . 7%(1。9、15 - 6)和13。4%(13。2、13。5)(￡9。92每月每个病人)更高的后12个月介绍。的增加并没有出现在那些没有糖尿病或在控制领域。从“完全DICI,糖尿病患者”实践经验的增加住院和金额支付住院关心的程度,这由12个趋势向下个月。这一趋势是持续的。

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