基于证据的需求管理策略使用一个中心和讲话培训模型,减少儿童治疗服务的等待时间:一个实施试验试验
Katherine E Harding1,2, Annie K Lewis1,2, Amy Dennett1,2
1School of Allied Health, Human Services and Sport, La Trobe University, Melbourne, Australia.
Child: care, health and development
|July 24, 2023
概括
特定及时预约诊断 (STAT) 模型在社区卫生中心显著减少了33%的儿科治疗等待时间. 这种数据驱动的方法提供了一个可扩展的解决方案,以改善儿童获得医疗保健的机会.
科学领域:
- 医疗保健管理的管理
- 儿科卫生服务 儿科卫生服务
- 过程改进 过程改进
背景情况:
- 儿童治疗服务的长期等待列表会对儿童发育和健康结果产生负面影响.
- 特定及时预约诊断 (STAT) 模型是减少各种医疗保健机构等待时间的经过验证的方法.
研究的目的:
- 评估STAT模型在减少儿科治疗服务等待时间方面的有效性.
- 评估远程"中心和讲话"培训方法,用于在社区卫生中心实施STAT模型.
主要方法:
- 五个社区卫生中心在六个月的时间里通过在线研讨会接受了STAT模型的培训.
- 在干预之前,干预期间和干预后测量了等待时间;通过调查评估了员工满意度.
主要成果:
- 观察到,从转诊到第一次预约的等待时间减少了33% (57到38天).
- 在实施后,等候名单上的儿童数量显著下降.
- 员工满意度和其他服务交付方面没有受到影响.
结论:
- STAT模型有效地减少了儿科治疗服务的等待时间.
- 一个"hub and spoke"模型促进了STAT模型的可扩展实施.
- STAT提供了一种实用,低成本,数据驱动的解决方案,用于管理卫生系统等候名单.
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