城市和农村三级保健机构之间的医院间泌尿器官转移的比较
Ian Berger1, Marilyn Hopkins2, Justin Ziemba1
1Division of Urology, Department of Surgery, University of Pennsylvania Perelman School of Medicine, Philadelphia, Pennsylvania.
Urology practice
|June 15, 2023
概括
将患者转移到农村泌尿中心更为常见,涉及更年轻的患者旅行更远,并来自医院,泌尿科医生较少. 许多转移可能可以通过远程医疗预防.
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
- 农村卫生 农村卫生
背景情况:
- 泌尿器科服务并非普遍可用,因此需要在医疗中心之间转移患者.
- 农村社区往往依赖于服务有限的当地中心,增加了转移需求.
- 这项研究比较了大都会和农村三级医疗机构之间的患者转移过程.
研究的目的:
- 为了比较大都会和农村三级保健中心之间泌尿器科服务的患者转移模式.
- 为了识别患者人口统计学,旅行距离和转诊模式的差异.
- 评估转移患者手术干预的必要性.
主要方法:
- 选择了两个学术医疗中心 (大都会和农村).
- 分析了2015年9月至2017年9月的泌尿器科服务转移日志.
- 数据包括原始医院泌尿科医生附属,旅行距离,转移原因和手术管理需求.
主要成果:
- 在606次转移中,有84%的转移到农村中心,涉及年轻患者 (53.3岁对61.9岁),他们旅行得更远 (64.2英里对36.5英里).
- 农村中心的转诊医院不太可能有附属泌尿科医生 (66.7%vs91.1%).
- 38%的患者需要进行手术管理,中心之间没有显著差异.
结论:
- 泌尿病患者转移的显著差异凸显了农村地区对服务的更大需求.
- 通过远程医疗或协作护理可以避免许多转移,因为大多数患者不需要手术.
- 解决农村泌尿器科服务缺口对于有效提供医疗保健至关重要.
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