使用先进实践提供者来改善患者在泌尿病学中的准入
Melody Chen1,2, Jonathan Kiechle1,2, Zachary Maher2
1Case Western Reserve University, Cleveland, Ohio.
Urology practice
|June 10, 2023
概括
聘请泌尿病学高级实践提供者显著减少了患者预约等待时间. 这一战略改善了获得专科护理的机会,同时保持了提供者的生产力和预订比率.
科学领域:
- 泌尿器科 泌尿器科 泌尿器科 泌尿器科
- 医疗保健管理的管理
- 医疗保健服务研究 医疗服务研究
背景情况:
- 全国泌尿科医生短缺需要制定战略,改善患者获得专业护理的机会.
- 高级实践提供者 (APP) 可以在患者评估中扮演角色,从而有可能提高访问.
- "下一个可用的第三次预约"是评估患者访问的关键指标.
研究的目的:
- 评估聘用APP对泌尿外科实践中患者准入的影响.
- 确定APP是否改善了患者访问基准,例如预约等待时间.
- 评估与医生预订比率相关的APP生产力.
主要方法:
- 一个单一的学术泌尿器科 (2013-2017) 患者获取和生产率数据的回顾性分析.
- 评估访问标记,包括新患者等待时间和"第三次可用预约"指标.
- APP和医生预约预订比率的比较.
主要成果:
- 添加两个APP使新患者的等待时间中位数减少了15天.
- 在APP集成后",第三次可用预约"指标大约提高了5天.
- 应用程序的平均预订率为80.2%,与医生的82.0%非常接近.
结论:
- 通过减少预约延迟时间,APP有效地改善了患者获得泌尿器科子专业护理的机会.
- 将APP整合到泌尿病实践中是一个可行的解决方案,以解决医生短缺的问题.
- 应用程序可以在不损害实践生产率的情况下增强患者的访问,并保持适当的预订比率.
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