城市医疗集团脑卒中康复分级医疗一体化管理方案的真实世界研究

A Real World Study on the Integrated Management Scheme of Rehabilitation Graded Medical Treatment in Urban Medical Group

目的以城市医疗集团康复分级诊疗为研究对象,探索医疗一体化管理方案在助推康复分级诊疗真实世界中的作用。方法以某城市医疗集团康复中心为研究对象开展队列研究,以2023年3月—2023年8月实施医疗一体化方案的120例患者为试验组,以2022年3月—2022年8月未实施方案的120例患者为对照组,收集相关指标数据[转诊率、住院费用、平均住院日、30 d康复评分、费用消耗指数、时间消耗指数、病例组合指数(case-mix index,CMI)]评价该方案的效果。结果该方案可以在一定程度上提高转诊率、CMI值、降低平均住院日、费用消耗指数、时间消耗指数及住院费用(P<0.05)。结论医疗一体化管理方案可以辅助城市医疗集团康复中心的分级诊疗,起到提质增效的效果,一定程度上助力康复分级诊疗的发展。

Objective To explore the role of integrated medical management scheme in promoting graded diagnosis and treatment of rehabilitation in the real world,taking urban medical group as the research object.Methods A cohort study was conducted with the rehabilitation center of Tongmei Medical Group as the research object.120 patients who implemented the medical integration program from March 1,2023 to August 31,2023 were selected as the experimental group,and 120 patients who did not implement the program from March 1,2022 to August 31,2022 were selected as the control group,and relevant indicator data(referral rate,referral rate,referral rate)were collected.Hospitalization cost,average length of stay,30-day rehabilitation score,cost consumption index,time consumption index,case-mix index(CMI),SPSS 22.0 statistical software was used for data analysis to evaluate the effect of the scheme.Results The scheme could improve the referral rate,CMI value,reduce the average length of stay,cost consumption index and time consumption index to some extent,hospitalization cost(P<0.05).Conclusion The integrated medical management scheme can assist the graded diagnosis and treatment in the rehabilitation center of urban medical group,and play a role in improving quality and efficiency.To a certain extent,it helps the development of graded diagnosis and treatment of rehabilitation.