{"id":3639,"date":"2024-04-17T18:20:17","date_gmt":"2024-04-17T18:20:17","guid":{"rendered":"https:\/\/sygeplejevidenskab.dk\/?p=3639"},"modified":"2025-09-01T09:24:07","modified_gmt":"2025-09-01T07:24:07","slug":"koordineringen-af-ambulante-forloeb-for-personer-med-multisygdom","status":"publish","type":"post","link":"https:\/\/sygeplejevidenskab.dk\/index.php\/2024\/04\/17\/koordineringen-af-ambulante-forloeb-for-personer-med-multisygdom\/","title":{"rendered":"Koordineringen af ambulante forl\u00f8b for personer med multisygdom"},"content":{"rendered":"<p><img data-recalc-dims=\"1\" fetchpriority=\"high\" decoding=\"async\" class=\"alignnone size-full wp-image-12752\" src=\"https:\/\/i0.wp.com\/sygeplejevidenskab.dk\/wp-content\/uploads\/2024\/07\/Digitalisering-og-kommunikation-1.png?resize=690%2C204&#038;quality=80&#038;ssl=1\" alt=\"\" width=\"690\" height=\"204\" srcset=\"https:\/\/i0.wp.com\/sygeplejevidenskab.dk\/wp-content\/uploads\/2024\/07\/Digitalisering-og-kommunikation-1.png?w=690&amp;quality=80&amp;ssl=1 690w, https:\/\/i0.wp.com\/sygeplejevidenskab.dk\/wp-content\/uploads\/2024\/07\/Digitalisering-og-kommunikation-1.png?resize=300%2C89&amp;quality=80&amp;ssl=1 300w, https:\/\/i0.wp.com\/sygeplejevidenskab.dk\/wp-content\/uploads\/2024\/07\/Digitalisering-og-kommunikation-1.png?resize=600%2C177&amp;quality=80&amp;ssl=1 600w\" sizes=\"(max-width: 690px) 100vw, 690px\" \/> &nbsp;&nbsp;<\/p>\n<p><a class=\"fasc-button fasc-size-medium fasc-type-flat fasc-rounded-medium fasc-ico-before dashicons-media-default\" style=\"background-color: #001f87; color: #ffffff;\" target=\"_blank\" rel=\"noopener\" href=\"https:\/\/sygeplejevidenskab.dk\/wp-content\/uploads\/2024\/04\/Resume-1924-koordinering-af-ambulant-behandling.pdf\">Download som PDF<\/a><\/p>\n<p><span class=\"OYPEnA text-decoration-none text-strikethrough-none\">Bell C, Appel CW, Prior A, Fr\u00f8lich A, Pedersen AR, Vedsted P. The Effect of Coordinating the Outpatient Treatment across Medical Specialities for Patients With Multimorbidity. International Journal of Integrated Care, 2024; 24(2): 4, 1\u201312. DOI: <\/span><a class=\"OYPEnA text-decoration-underline text-strikethrough-none\" draggable=\"false\" href=\"https:\/\/link.edgepilot.com\/s\/da3896f6\/GSwWupRcKkKdSP5_NcImKg?u=https:\/\/doi.org\/10.5334\/ijic.7535\" target=\"_blank\" rel=\"noopener\">https:\/\/doi.org\/10.5334\/ijic.7535<\/a><\/p>\n<p class=\"cvGsUA direction-ltr align-start para-style-body\"><strong><span class=\"OYPEnA text-decoration-none text-strikethrough-none\">Indledning<br \/>\n<\/span><\/strong><span style=\"font-size: 16px;\">Patienter med multimorbiditet har et h\u00f8jt forbrug af sundhedsydelser, og mange har flere ambulante forl\u00f8b p\u00e5 tv\u00e6rs af specialer. Vi vurderede effekterne af en intervention, der samlede ambulante aftaler til samme dag i et tv\u00e6rfagligt ambulant forl\u00f8b.<\/span><\/p>\n<p class=\"cvGsUA direction-ltr align-start para-style-body\"><strong><span class=\"OYPEnA text-decoration-none text-strikethrough-none\">Metode<br \/>\n<\/span><\/strong><span class=\"OYPEnA text-decoration-none text-strikethrough-none\">Dette studie anvendte et kvasi-eksperimentelt design. Inkluderede patienter havde multimorbiditet, var \u226518 \u00e5r og havde forl\u00f8b i \u22652 hospitalsambulatorier inden for fem forskellige specialer. Disse patienter blev identificeret fra august 2018 til marts 2020 gennem fremtidige ambulante aftaler og udgjorde en interventionsgruppe (aftalekoordinering) og en sammenligningsgruppe (ingen koordinering). <\/span><span class=\"OYPEnA text-decoration-none text-strikethrough-none\">Vi brugte patientsp\u00f8rgeskemaer og parvise analyser til at studere behandlingsintegration og behandlingsbyrde. Ved hj\u00e6lp af negativ binomial regression blev sundhedsydelsesforbruget estimeret som incidensrate forholdet (IRRs) et \u00e5r f\u00f8r og et \u00e5r efter baseline for begge grupper, for dern\u00e6st at sammenholde IRR-forholdet (IRRRs).<\/span><\/p>\n<p class=\"cvGsUA direction-ltr align-start para-style-body\"><strong><span class=\"OYPEnA text-decoration-none text-strikethrough-none\">Resultater<br \/>\n<\/span><\/strong><span class=\"OYPEnA text-decoration-none text-strikethrough-none\">Interventionspatienter havde en 19% reduktion i hospitalsbes\u00f8g (IRRR: 0,81, 95% CI: 0,70\u20130,96) og en 17% reduktion i blodpr\u00f8ver (IRRR: 0,83, 0,73\u20130,96) sammenholdt med sammenligningspatienter.<br \/>\n<\/span><span class=\"OYPEnA text-decoration-none text-strikethrough-none\">Der blev ikke fundet effekter inden for behandlingsintegration, behandlingsbyrde, ambulante kontakter, afsluttede ambulante forl\u00f8b, hospitalsindl\u00e6ggelser, dage med indl\u00e6ggelse eller almen praksis kontakter.<\/span><\/p>\n<p class=\"cvGsUA direction-ltr align-start para-style-body\"><strong><span class=\"OYPEnA text-decoration-none text-strikethrough-none\">Konklusion<br \/>\n<\/span><\/strong><span class=\"OYPEnA text-decoration-none text-strikethrough-none\">Koordineringen af ambulante forl\u00f8b reducerede antallet af hospitalsbes\u00f8g og blodpr\u00f8ver, men p\u00e5 \u00f8vrige parametre blev der ikke fundet effekter. Disse resultater b\u00f8r yderligere unders\u00f8ges i studier, der udforsker koordineringen af ambulant behandling for patienter med multimorbiditet.<\/span><\/p>\n<p class=\"cvGsUA direction-ltr align-start para-style-body\"><span class=\"OYPEnA text-decoration-none text-strikethrough-none\">Cathrine Bell, phd, cand.scient.san, sygeplejerske, <\/span><span class=\"OYPEnA text-decoration-none text-strikethrough-none\">Medicinsk Diagnostisk Center, Universitetsklinik for Innovative Patientforl\u00f8b, HE Midt, Region Midt. <\/span><a href=\"mailto:catbel@rm.dk\" target=\"_blank\" rel=\"noopener\"><span class=\"OYPEnA text-decoration-none text-strikethrough-none\">catbel@rm.dk<\/span><\/a><\/p>\n","protected":false},"excerpt":{"rendered":"<p>&nbsp;&nbsp; Download som PDF Bell C, Appel CW, Prior A, Fr\u00f8lich A, Pedersen AR, Vedsted P. The Effect of Coordinating 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