在共享实践小组和独立实践小组之间对门诊质量衡量的比较
Adria Whiting1, April E Poolman1, Artika Misra2
1Department of Family Medicine, Mayo Clinic Health System, Southwest Minnesota Region, Fairmont, MN.
Mayo Clinic proceedings. Innovations, quality & outcomes
|June 30, 2023
概括
独立实践小组 (IPP) 提高了抑郁症缓解率,而共享实践小组 (SPP) 提高了宫癌查. 这些发现为优化初级保健团队结构提供了见解.
科学领域:
- 初级护理研究初级护理研究
- 医疗服务研究 医疗服务研究
- 改善临床质量的改善.
背景情况:
- 根据初级保健团队结构,患者护理结果可能会有所不同.
- 了解独立实践小组 (IPP) 与共享实践小组 (SPP) 的影响对于优化护理提供至关重要.
研究的目的:
- 将独立实践小组 (医生或高级实践提供者) 和共享实践小组 (医生和≥1名高级实践提供者) 之间的患者护理结果进行比较.
- 评估质量指标,包括糖尿病最佳护理,高血压控制,抑郁缓解和癌症查率在不同的初级保健模式.
主要方法:
- 从2019年1月1日到2019年12月31日,对140个家庭医学小组中的114,438名患者的电子健康记录进行了回顾性审查.
- 独立实践小组 (IPP) 和共享实践小组 (SPP) 之间的6个质量指标的比较.
主要成果:
- 独立实践小组显示,抑郁症缓解率显著更高 (16.6%对11.1%;P<.01).
- 共享实践小组显示,宫癌查率显著上升 (79.1%与74.2%相比;P<.01).
- 在两种小组类型之间,在最佳糖尿病护理,高血压控制,乳腺或结肠癌查方面没有发现显著差异.
结论:
- 独立实践小组与改善抑郁症缓解有关.
- 共享实践小组与更好的宫癌查率有关.
- 结果可以告知初级保健团队的配置,以提高特定的质量指标.
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