改善及时获得初级保健:高级获取模式的案例研究
Mark Murray1, Thomas Bodenheimer, Diane Rittenhouse
1Mark Murray & Associates, Sacramento, Calif, USA.
JAMA
|February 25, 2003
概括
先进的访问安排旨在通过平衡患者需求和提供者能力来实现当天预约. 案例研究揭示了初级保健实践的关键教训,旨在改善及时获得护理的机会.
科学领域:
- 医疗保健服务研究 医疗服务研究
- 初级医疗保健医学 一级医疗保健医学
- 医疗保健管理的管理
背景情况:
- 高级访问模式旨在通过将患者需求与医疗保健能力相协调,提供当天预约.
- 改善及时的患者接入是初级保健机构的一个关键目标.
- 之前的文献已经探索了高级访问调度的理论基础.
研究的目的:
- 分析在初级保健中先进接入模式的实施情况.
- 确定导致成功和不成功的先进访问采用的因素.
- 为医疗保健实践提供实用教训,旨在改善患者的获取.
主要方法:
- 对初级保健实践的案例研究分析.
- 描述了4个成功的高级访问实施方案.
- 审查了3项未能获得高级访问的案例研究.
主要成果:
- 成功实施需要谨慎平衡预约能力和患者需求.
- 具体的策略和组织变化对于实现当天访问至关重要.
- 在实施困难的实践中发现了共同的挑战和陷.
结论:
- 如果有效实施,先进的访问调度可以显著改善及时的患者访问.
- 了解实施挑战和从案例研究中吸取的经验教训对于成功至关重要.
- 初级保健实践可以通过避免常见的陷和采用经过验证的策略,从这种模式中受益.
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