十年后:北克省先进访问模式实施的肖像
Mylaine Breton1, Isabelle Gaboury1, Christine Beaulieu1
1Université de Sherbrooke, Longueuil, Quebec, Canada.
Healthcare management forum
|June 16, 2023
概括
在北克初级保健中实施先进的访问模式10年后显示出混合的结果. 虽然预约安排是常见的,但紧急护理和长期规划的战略较少被采用,这表明需要进一步改进.
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:
- 自2012年以来,加拿大推先进接入模式,以提高及时获得初级保健的机会.
- 评估其实施10年后的引入对于了解其持续影响和挑战至关重要.
研究的目的:
- 评估北克初级保健机构在先进接入模式实施的程度.
- 确定医疗保健提供者中特定高级访问策略的采用率.
主要方法:
- 一项调查分发给北克的127家诊所,收集了999名家庭医生和107名护士从业人员的回复.
- 调查的重点是各种高级访问策略的实施状态,包括预约安排和需求管理.
主要成果:
- 开放预约时间表提前2至4周被广泛采用.
- 只有不到一半的受访者实施了应对紧急/半紧急情况的战略.
- 只有不到20%的受访者参与了长期 (1年) 的供需规划.
结论:
- 虽然高级访问模式的某些方面已经成熟,但在全面实施方面仍然存在重大差距.
- 需要改变个人实践的策略比需要全诊所修改的策略更常被采用.
- 需要进一步的干预措施来解决执行缺陷,特别是在紧急护理准入和主动能力管理方面.
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