Au sortir de l'hôpital, comment renforcer la continuité de la prise en charge médicale [Discharge from hospital: how to improve continuity of medical care?].

Détails

ID Serval
serval:BIB_E873CAF5A0B5
Type
Article: article d'un périodique ou d'un magazine.
Sous-type
Synthèse (review): revue aussi complète que possible des connaissances sur un sujet, rédigée à partir de l'analyse exhaustive des travaux publiés.
Collection
Publications
Institution
Titre
Au sortir de l'hôpital, comment renforcer la continuité de la prise en charge médicale [Discharge from hospital: how to improve continuity of medical care?].
Périodique
Revue Médicale Suisse
Auteur(s)
Garnier A., Uhlmann M., Griesser A.C., Lamy O.
ISSN
1660-9379 (Print)
ISSN-L
1660-9379
Statut éditorial
Publié
Date de publication
11/2015
Volume
11
Numéro
493
Pages
2064, 2066-2064, 2069
Langue
français
Notes
Publication types: English Abstract ; Journal Article
Publication Status: ppublish
Résumé
Early readmission is the major success indicator of the transition between hospital and home. Patients admitted with heart failure reach a 20% rate. Potentially avoidable readmissions, defined as unpredictable and related to a known condition during index hospitalization, represent the improvement margin. For these latter, implementation of specific interventions can be effective. Complex interventions on transition, including several modalities and seeking to encourage patient autonomy seem more effective than others. We describe two models: a pragmatic one developed in a regional hospital, and a more complex one developed in a university hospital during the LEAR-HF study. In both cases, it is imperative to work on "medical liability": should it extend beyond discharge up to the threshold of the private practice?
Mots-clé
Continuity of Patient Care/standards, Heart Failure/therapy, Hospitalization/statistics & numerical data, Hospitals/standards, Humans, Models, Theoretical, Patient Discharge, Patient Readmission/statistics & numerical data
Pubmed
Création de la notice
27/04/2016 11:36
Dernière modification de la notice
20/08/2019 17:11
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