先进的访问:减少等待和延迟的初级保健
Mark Murray1, Donald M Berwick
1Mark Murray & Associates, Sacramento, Calif, USA.
JAMA
|February 25, 2003
概括
应用工业工程原理,如先进访问,可以显著减少医疗保健延迟. 这种模式通过优化调度和资源分配,提供当天预约,改善患者的访问,而无需额外的资源.
科学领域:
- 医疗保健管理的管理
- 运营研究 运营研究
- 在初级医疗保健中.
背景情况:
- 医疗保健系统经常在患者护理方面经历重大延迟,这往往归因于效率低下的安排和资源分配,而不是真正的资源稀缺.
- 这些延误会对患者获取和整体医疗保健系统效率产生负面影响.
研究的目的:
- 探索工业工程原理的应用,特别是队列理论和高级访问模型,以减少医疗保健延迟.
- 证明可以在不需要额外资源的情况下大幅减少患者等待时间.
主要方法:
- 使用排队理论和适应临床环境的工业工程原理.
- 实施高级访问模式,优先为患者提供当日预约.
- 专注于六个关键要素:平衡供需,减少预约积压,标准化预约类型,创建应急计划,管理需求,增强瓶资源的可用性.
主要成果:
- 先进的访问模式在减少初级保健机构等待时间方面取得了成功.
- 实施可以大幅减少延迟,即使在较小的实践中.
- 该模型的有效性取决于不超过医生能力的需求.
结论:
- 医疗保健延迟往往是系统性的,可以通过优化安排和资源管理来解决,而不仅仅是增加资源.
- 基于工业工程的高级访问提供了一个可行的策略,以改善患者的访问和减少等待时间.
- 成功的采用需要克服既定做法,并需要强有力的领导承诺.
更多相关视频
相关概念视频
Introduction To Health Care Delivery System
4.9K
The healthcare system is constantly changing and complex. Various services are available from different healthcare providers, but gaining access to these services has become challenging for people with limited healthcare insurance. Uninsured people present a challenge to healthcare because they frequently postpone or forego treatment.
The Institute of Medicine (IOM) advocates for a patient-centered, effective, safe, timely, equitable, and effective healthcare system. The National Priorities...
The Institute of Medicine (IOM) advocates for a patient-centered, effective, safe, timely, equitable, and effective healthcare system. The National Priorities...
4.9K
Methods Of Healthcare Delivery System
3.9K
At the different levels of the healthcare system, we see varying methods of healthcare used. These methods include managed care systems, case management, and primary healthcare.
Managed Care System:
The managed care system is designed to control the cost while maintaining the quality of care. The patient's care from admission to discharge is planned by the primary care provider or the case manager, also known as the gatekeeper. In a managed care system, the number of care providers is...
Managed Care System:
The managed care system is designed to control the cost while maintaining the quality of care. The patient's care from admission to discharge is planned by the primary care provider or the case manager, also known as the gatekeeper. In a managed care system, the number of care providers is...
3.9K
Primary Healthcare Services
3.3K
Primary care promotes wellness and prevents disease. This care includes health promotion, education, protection (such as immunizations), early disease screening, and environmental considerations. Settings providing this type of healthcare include physician offices, public health clinics, school nursing, and community health nursing.
In 1978, international leaders convened in Alma-Ata, Kazakhstan, for what would be a pivotal event in global health. The Alma-Ata Declaration was the first to call...
In 1978, international leaders convened in Alma-Ata, Kazakhstan, for what would be a pivotal event in global health. The Alma-Ata Declaration was the first to call...
3.3K
Preventive Healthcare Services
2.4K
Preventive healthcare services keep people healthy via frequent check-ups, screening, and counseling. They primarily aid in disease prevention rather than treating an acute or chronic illness. Preventive treatment also keeps individuals productive and energetic, allowing them to work well into their retirement years. Examples of preventive care services include:
2.4K
Secondary Healthcare System
2.1K
Secondary healthcare is offered by a specialist, generally in hospitals or clinics for patients referred by primary healthcare providers. It occurs when a person has an illness or injury that requires specific medical care. Secondary care is often referred to as acute care. Secondary care can range from uncomplicated care to repair a minor laceration or treat a strep throat infection to more complicated emergent care, such as treating a head injury sustained in an automobile accident. Whatever...
2.1K
Methods of Documentation VI: Case Management Model
1.0K
The case management model is a multidisciplinary approach that involves healthcare professionals from diverse disciplines, such as physicians, nurses, therapists, social workers, and pharmacists, working collaboratively to address the various needs of patients. Each healthcare professional brings unique expertise and perspectives, contributing to a more comprehensive understanding of the patient's condition and tailoring treatment plans accordingly.
For example, a patient with a chronic...
For example, a patient with a chronic...
1.0K


