Using Palliative Care Nurses in a Supportive Care Program to Reduce Hospital Utilization for Patients With Multiple Chronic Conditions

被引：1

作者：

Allen, Alicia ^{[1
]}

Frederick, Logan ^{[1
]}

Hovey, Susan L. ^{[2
]}

机构：

[1] Advocate BroMenn Med Ctr, Normal, IL USA

[2] Illinois State Univ, Mennonite Coll Nursing, Campus Box 5815, Normal, IL 61790 USA

来源：

JOURNAL OF NURSING CARE QUALITY | 2021年 / 36卷 / 01期

关键词：

hospital utilization; multiple chronic conditions; palliative care; self-management; supportive care;

D O I：

10.1097/NCQ.0000000000000482

中图分类号：

R47 [护理学];

学科分类号：

1011 ;

摘要：

Background: Health care organizations are designing comprehensive care programs to reduce hospital utilization by high-risk patients with multiple chronic illnesses. Local Problem: A community hospital recognized patients with multiple chronic conditions had higher rates of inpatient stays and emergency department (ED) visits. Methods: Patients (n = 36) with multiple chronic conditions enrolled in a supportive care program. Researchers analyzed hospital utilization, inpatient stays, and ED visits preintervention and postgraduation for the participants enrolled. Palliative care nurses were assigned to patients enrolled in the supportive care program. Results: There was a statistically significant decrease in hospital utilization (Z = -2.540, P = .011) and inpatient stays (Z = -4.037, P < .001) following the implementation of the supportive care program. Conclusions: The study met its aim of reducing hospital utilization and inpatient stays by creating a comprehensive approach to support high-risk patients in self-management of their chronic illnesses.

引用

页码：79 / 83

页数：5

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