背景:残疾患者患病率的增加凸显了康复的重要性。然而,医疗保健系统已经面临财政限制,这使得必须努力更有效地提供服务。第一步,然而,是了解提供服务对具有不同特征的患者的行为。
目的:确定脊髓损伤/疾病(SCI/D)患者康复(亚)急性期最常用的医疗服务以及与患者特征的联系。
方法:观察性队列研究。
方法:本研究分析了从瑞士一家专业SCI医院和康复中心出院的患者的临床数据。
方法:我们实施了复合风险模型来估计所使用的医疗保健服务的总量,由住院时间(LOS)和每天的医疗服务单位(亚)急性康复阶段定义。
结果:该研究包括403名SCI/D患者对不同患者和受伤特征的医疗保健服务的强度和严重程度的分析表明,医疗保健使用的强度和住院时间(LOS)的差异。入院时SCIM较低的男性患者倾向于比女性患者更广泛地使用医疗保健服务。在病因学方面,对于创伤性SCI(TSCI)患者,我们采用了更多的治疗方法.此外,分析显示,医疗服务使用强度的变化比LOS调整后的变化更为显著.最终,相似的患者组在治疗结束时接受了相当数量的医疗服务.
结论:这项基于人群的研究为更好地了解SCI/D患者(亚)急性康复阶段卫生服务使用的决定因素提供了信息。在分析LOS时,强度,和服务的严重性,它表明,医疗服务的使用与入院时的SCIM水平显著不同,年龄组,性别,和病因。然而,个体患者之间的差异也提示存在本分析中未考虑的其他有影响的修饰语.
结论:概述的方法通过丰富有关患者的更多详细信息的计算数据,可以对该数据分析进行系统的随访。病人的治疗,和结果。
BACKGROUND: The increasing prevalence of individuals experiencing disabilities underscores the importance of rehabilitation. Nevertheless, healthcare systems are already facing financial constraints, which makes it imperative to strive for a more efficient delivery of services. The first step, however, is to understand how the provision of services behaves for patients with different characteristics.
OBJECTIVE: To determine the most frequently used healthcare services in the (sub)acute phase of rehabilitation of patients with spinal cord injury/disease (SCI/D) and the link with patient characteristics.
METHODS: Observational cohort study.
METHODS: This study analyzes the clinical data of patients discharged from a specialized SCI hospital and rehabilitation center in Switzerland.
METHODS: We implemented a compound risk model to estimate the total amount of healthcare services used, defined by length of stay (LOS) and the units per day of health services (sub)acute phase of rehabilitation.
RESULTS: The study included 403 individuals with SCI/D. The analysis of the intensity and severity of healthcare services across different patient and injury characteristics revealed differences in the intensity of healthcare use and variations in the length of stay (LOS). Male patients with a low SCIM upon admission tended to use healthcare services more extensively than female patients. In terms of etiology, therapies were employed more intensively for patients with traumatic SCI (TSCI). In addition, the analysis revealed that variations in the intensity of healthcare services used were more significant than those adjusted for LOS. Ultimately, similar patient groups received comparable quantities of healthcare services at the end of treatment.
CONCLUSIONS: This population-based study provides information for a better understanding of the determinants of health service use during the (sub)acute rehabilitation phase of individuals with SCI/D. When analyzing LOS, intensity, and severity of services, it shows that the use of healthcare services significantly differs for the level of SCIM at admission, age groups, sex, and etiology. However, the variation among individual patients also suggests the presence of other influential modifiers that were not considered in this analysis.
CONCLUSIONS: The approach outlined enables a systematic follow-up of this data analysis by enriching the computed data with additional details about the patient, the patient\'s treatment, and outcomes.