紧急部门的患者导航员成功地将患者与快速发展的医疗保健系统中的护理联系起来
Patricia J Peretz1, Henley Vargas1, Maria D'urso2
1Division of Community and Population Health, NewYork-Presbyterian Hospital, 622 West 168th Street, VC4-412, New York, NY 10032, United States.
Preventive medicine reports
|July 14, 2023
概括
患者导航器可以改善急诊室患者的随访护理. 该计划成功将94%的患者连接到新的提供者,并确保81%的患者参加预定的预约.
科学领域:
- 医疗保健管理的管理
- 患者护理协调与协调
- 公共卫生 公共卫生
背景情况:
- 在美国,急诊室 (ED) 患者的随访预约遵守率从26%到56%不等.
- 在复杂的医疗保健系统中,患者在获得护理方面遇到重大障碍.
- 对文化敏感的支持和预约安排对于患者的护理连续性至关重要.
研究的目的:
- 评估患者导航计划在改善ED患者后续护理方面的有效性.
- 评估该计划对将患者与初级保健提供者的联系以及确保预约出席的影响.
- 确定患者导航员在克服持续医疗保健障碍方面的作用.
主要方法:
- 2020年在纽约长老会皇后医院实施患者导航计划.
- 部署7名双语患者导航员,接受文化敏感教育和支持方面的培训.
- 在2020年2月至2022年12月期间,向30164名患者提供了支持.
主要成果:
- 94%没有初级保健提供者 (PCP) 的患者在出院时获得了新的提供者和预约.
- 81%的患者参加了患者导航员安排的后续预约.
- 患者导航者促进了文化敏感的护理,并与患者建立了信任.
结论:
- 患者导航员是ED医疗保健团队的有效成员,增强患者与护理的联系.
- 该计划显著改善了弱势患者群体的护理连续性.
- 患者导航员在解决医疗保健系统的复杂性和确保一致的患者随访方面发挥着至关重要的作用.
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