Ukuhlaziywa kokuvalwa kwezibhedlela kwe-Pneumonia etholakale emphakathini (cap) eFrance kwathola ukuthi ukufundwa okumbalwa kwakuvikeleka, kusekela ukugxekwa okuthi isilinganiso singaholela ezincomweni ezingelona iqiniso.
Ukufundwa okumbalwa kuyagwemeka ngemuva kokuthola indawo okutholakala esibhedlela i-Pneumonia etholakale emphakathini, kutholakale isifundo esisha eFrance, siphakamisa ukuthi le nkomba kungenzeka ingabi yisilinganiso esifanelekile sezinhlelo zokukhokha ezibhedlela.
Ucwaningo olubusayo olushicilelwe lushicilelwe e-Jama Network Open lubandakanya iziguli ezingama-1150 nge-Pneumonia etholakala esibhedlela esibhedlela saseGrenoble University Hospital nase-Annyy General Hospital eFrance ngo-2014.
I-Bastien Boussat, MD, yoMnyango Wezokudala Esibhedlela iGrenoble University eGrenoble, France, "amaphesenti amancane kuphela okufunda ngemuva kokuthola indawo ye-pneumonia avikelekile (ngaphansi kokuthola okungu-10).."
Lolu cwaningo lufake ama-651 (56.6%) anesikhathi seminyaka engama-77,8, iziguli ezingama-98 (8.5%) afundwe kungakapheli izinsuku ezingama-30, kanti u-108 (9.4%) afundwe kungazelelwe.
Idatha eqoqwe ifakiwe i-comorbidities, isigaba se-pneumonia seaveity inkomba yenkomba, ukuhlolwa ngokomzimba kanye nokutholwa kwelebhu, imiphumela ye-CT noma i-CT Scan imiphumela kanye nokutholwa kwe-microbiologiologioor, kanye nokwelashwa kanye nezinkinga.
Lolu cwaningo luhlanganisa ukubuyekezwa kwamarekhodi emitholampilo ngochwepheshe bezokwelapha abahlola uhlobo olungahlelwanga, imvelo evikelekile kanye nokufundwa kwama-pulmorologists, kanye namathuba okubalwa kwezifo ezithathelwanayo, futhi amathuba okuthi atholakale e-bayeses kugwemeke.
Ukufundwa okuyishumi nanhlanu okungekho emthethweni kube ne-Posterial Post Store kune-50% (13.9% yokuvalwa okungakahlelwanga okungu-108; iziguli ezivinjelwe ukufundwa okufushane phakathi kwezinsuku eziyi-12 (p = .02).
UBoussat uthe wamangala ngobungcweti obunzima bokuvuma ukuthi u-Readmissions avinjezelwa futhi izinga eliphansi lokufunda okungavinjelwa.
Ukufundwa okungahlelwanga okungu-108, kuphela ama-51 (47.2%) avumelana ngokugcwele phakathi kwababuyekezi abane abazimele, kufaka phakathi isiguli esisodwa esihlukaniswe njengokugwema.
"Kusetshenziswa ukufundwa kwezinsuku ezingama-30 ngemuva kokwenziwa kwesibhedlela i-Cap ukuthola izinkokhelo zokuthengisa kanye nokubikwa kwasobala kungahlawulisa ngokungafanele izibhedlela, lapho inqubo yokuhlulela ibandakanya ukuhlaziya izibuyekezo, lokhu kubuyekezwa okuzimele okuningi.
Izikhungo zeMedicaid Ne Medicare Services zethule uhlelo lokusebenzisa imali ngo-2008, zixhumanisa ukubuyiselwa kwe-Medicare kumameMibhalo wekhwalithi yekhwalithi yekhwalithi.SinuUmonia ngaleso sikhathi ngonyaka ka-2012, kususelwa eDenmark kanye neFrance. Ukuphawula ukuthi baye bagxekwa ngokungacabangi ngokwanele ukuba bacabangele ukuboniswa kwezokwelapha kanye nokungatholakali kokufundwa okuthile.
"Abasebenza kahle
Isikhathi sePosi: APR-21-2022