緊急受診前に診療を断念した理由(待たずに帰宅):横断研究
Abdi D Osman1,2,3, Jahar Bhowmik4, Robert Millar1,2
1Emergency Department, Austin Health, Melbourne, Victoria, Australia.
Emergency medicine Australasia : EMA
|January 7, 2026
まとめ
治療前に緊急外来(ED)を去る患者、すなわち待たずに帰宅するという決断(DNW)は、臨床的な助言と推定待ち時間を提供することで減少する可能性がある。これらの患者の行動を理解することは、EDケアの改善に不可欠である。
科学分野:
- 救急医学
- 患者行動研究
- ヘルスケア管理
背景:
- 患者が治療を受ける前に緊急外来(ED)を去る理由を理解することは、患者の安全とケアを改善するために不可欠です。
- EDを去った後の健康探索行動については、さらなる調査が必要です。
主な方法:
- 横断的調査が設計され、REDCapデータベースにリンクされた自動メッセージングプラットフォームを介して実施されました。
- 5ヶ月間に37,303件のED受診からデータが収集され、DNWコホートから246件の回答がありました。
結論:
- 臨床的な助言と待ち時間の推定を提供することは、治療前にEDを去る患者の割合を減らす可能性があります。
- 待ち時間に関する患者の懸念に対処することは、EDの安全性と患者の流れを改善するために不可欠です。
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