Fragmentation of ambulatory care among older adults: an exhaustive database study in an ageing city in Japan

Kaneko, Makoto; Shinoda, Satoru; Shimizu, Sayuri; Kuroki, Makoto; Nakagami, Sachiko; Chiba, Taiga; Goto, Atsushi

doi:10.1136/bmjopen-2022-061921

“…At the same time, patients are characterized by limited mobility, organic discomfort, and emotional agitation during infusion. Accompanying family members are prone to adverse emotions due to the limited things they can undertake, which makes it further difficult to carry out nursing work [ 4 ]. Infusion room nursing has the risk of different degrees and aspects of adverse events that affect the quality of nursing under multiple factors, and nursing management is an effective way to improve the quality and efficiency of nursing [ 5 ].…”

Section: Introductionmentioning

confidence: 99%

Analysis of Effect of Six Sigma Method Combined with CI Strategy on Improving of Nursing Quality in Outpatient Infusion Rooms

Shen

¹

,

Wei

²

,

Zhang

³

et al. 2022

BioMed Research International

View full text Add to dashboard Cite

Objective. The infusion room is the last part of an outpatient visit, with high patient density, large staff mobility, and a wide variety of conditions. In addition, most patients are accompanied by their families during infusion, and nursing staff in infusion rooms have to face more trivial and miscellaneous tasks than nursing staff in other treatment departments, which are more complex. The purpose of this research is to explore the impact of the Six Sigma method and CI strategy on the quality of nursing management in infusion rooms, so as to provide reference for clinical research. Methods. A total of 2142 patients treated in our outpatient infusion rooms from June 2019 to June 2020 was included into this retrospective analysis. Of these, 1105 patients admitted before 2020 received routine care management services and were considered as the control group. Another 1037 patients were admitted after 2020 and received the Six Sigma method combined with CI strategic care management and were considered as the research group. The incidence of adverse events during treatment was counted in both groups, and patients’ compliance behavior and psychology were investigated. After treatment, patients’ evaluation of the quality of nursing and their satisfaction with the nursing were investigated. Results. The incidence of adverse events during infusion in the research group was dramatically lower than that in the control group, while the compliance behavior scores were higher ( P < 0.05 ). In addition, SAS and SDS in the research group were lower than those in the control group, while the quality of nursing were higher ( P < 0.05 ). It was also clear that the research group had 93.39% satisfaction with nursing, which was also higher than the control group ( P < 0.05 ). Conclusion. Implementation of infusion room nursing management according to the Six Sigma method with CI strategic plan can avoid adverse events and improve infusion nursing satisfaction. It also helps reduce the incidence of dispute events.

show abstract

“…Therefore, the nursing service strategies in the outpatient infusion rooms need to meet both wide applicability and high timeliness that can be completed within a limited working time, which undoubtedly increases the work difficulty of nursing staff in the rooms and brings certain safety risks to nursing safety [ 5 ]. Also, the failure to achieve the ideal nursing service work has led to a high incidence of nurse-patient disputes and other incidents [ 6 , 7 ]. Studies have shown that more than 80% of nurse-patient dispute incidents are caused by miscommunication and mostly occur between patients' families and nurses [ 8 , 9 ].…”

Section: Introductionmentioning

confidence: 99%

Analysis of the Effect of the Communication Ability of Nurses in Outpatient Infusion Room on the Treatment Experience of Patients and Their Families

Shen

¹

,

Zhang

²

,

Wei

³

2022

Computational and Mathematical Methods in Medicine

View full text Add to dashboard Cite

Objective. To observe the effect of nursing communication ability in outpatient infusion room on the treatment experience of outpatients and their families and analyze whether improving nurses’ communication skills can reduce the incidence of doctor-patient disputes. Methods. According to the results of the communication ability survey, the outpatient nurses in our hospital are divided into groups A ( score < 65 ), B ( 65 ≤ score < 80 ), C ( 80 ≤ score < 95 ), and D ( score ≥ 95 ). Taking outpatients and their families in our hospital from September 2019 to December 2020 as the research objects, they were divided into corresponding groups according to the nurses who served them. Finally, there were 73 cases in group A, 85 in group B, 92 in group C, and 65 in group D. The mental toughness scale (Connor-Davidson Resilience Scale Chinese (CD-RISC)) scores and Herth Hope Index (HHI) scores of the four groups of patients were compared, and the correlation between nurse communication scores and CD-RISC scores and HHI scores was analyzed. The incidence of negative events (patient-nurse disputes, complaints, etc.) and the results of nursing satisfaction surveys during the visits of the four study groups were also counted. Results. The four groups of CD-RISC and HHI total scores were ranked from highest to lowest as groups D, C, B, and A, respectively ( P < 0.05 ). There was a positive correlation between the resilience dimension scores of the family members’ CD-RISC and the toughness, strength, optimism dimension scores of the HHI and the nurses’ communication dimension scores ( r = 0.191 -0.472, P < 0.05 ). Besides, the incidence of negative events was higher in group A than in the other three groups, while the satisfaction with care was lower than in the other three groups ( P < 0.05 ). Conclusion. Improving nurses’ communication skills in infusion room nursing quality management can improve the mental toughness and hope level of patients’ accompanying family members, which is conducive to controlling their emotions and avoiding the occurrence of dispute incidents.

show abstract

“…To address the issues raised by multimorbidity, it is essential to adopt the concept of integrated care that places patients at the center of their healthcare journey. However, the development of integrated care in Japan is limited compared to other countries as there is an absence of a formal gatekeeping system in the country [ 43 ]. Previously, most physicians in Japan underwent postgraduate training in specialized clinical departments, leading to an emphasis on specialization and a shortage of primary care physicians.…”

Section: Discussionmentioning

confidence: 99%

Multimorbidity patterns in the working age population with the top 10% medical cost from exhaustive insurance claims data of Japan Health Insurance Association

Nishida,

Anzai,

Takahashi

et al. 2023

PLoS ONE

2

0

View full text Add to dashboard Cite

Although the economic burden of multimorbidity is a growing global challenge, the contribution of multimorbidity in patients with high medical expenses remains unclear. We aimed to clarify multimorbidity patterns that have a large impact on medical costs in the Japanese population. We conducted a cross-sectional study using health insurance claims data provided by the Japan Health Insurance Association. Latent class analysis (LCA) was used to identify multimorbidity patterns in 1,698,902 patients who had the top 10% of total medical costs in 2015. The present parameters of the LCA model included 68 disease labels that were frequent among this population. Moreover, subgroup analysis was performed using a generalized linear model (GLM) to assess the factors influencing annual medical cost and 5-year mortality. As a result of obtaining 30 latent classes, the kidney disease class required the most expensive cost per capita, while the highest portion (28.6%) of the total medical cost was spent on metabolic syndrome (MetS) classes, which were characterized by hypertension, dyslipidemia, and type 2 diabetes. GLM applied to patients with MetS classes showed that cardiovascular diseases or complex conditions, including malignancies, were powerful determinants of medical cost and mortality. MetS was classified into 7 classes based on real-world data and accounts for a large portion of the total medical costs. MetS classes with cardiovascular diseases or complex conditions, including malignancies, have a significant impact on medical costs and mortality.

show abstract

Fragmentation of ambulatory care among older adults: an exhaustive database study in an ageing city in Japan

Cited by 4 publications

References 33 publications

Analysis of Effect of Six Sigma Method Combined with CI Strategy on Improving of Nursing Quality in Outpatient Infusion Rooms

Analysis of Effect of Six Sigma Method Combined with CI Strategy on Improving of Nursing Quality in Outpatient Infusion Rooms

Analysis of the Effect of the Communication Ability of Nurses in Outpatient Infusion Room on the Treatment Experience of Patients and Their Families

Multimorbidity patterns in the working age population with the top 10% medical cost from exhaustive insurance claims data of Japan Health Insurance Association

Contact Info

Product

Resources

About