通过共享医疗预约提高临床生产力
Kimberly L Fischer1, Matthew S Christman1
1Naval Medical Center San Diego, San Diego, California.
Urology practice
|August 4, 2023
概括
共享医疗预约显著改善了对小儿泌尿病患者有轻微阴茎问题的护理机会. 这种创新方法减少了近一周的等待时间,并增加了每月的患者数量.
科学领域:
- 儿科泌尿外科 儿科泌尿外科
- 医疗保健管理的管理
背景情况:
- 医生面临着平衡资源限制和质量护理的挑战.
- 共享医疗预约为改善医疗保健准入提供了一个潜在的解决方案.
- 这项研究的重点是为轻微的阴茎投诉实施共享医疗预约.
研究的目的:
- 改善全诊所对患有小阴茎病情的儿科患者的护理.
- 评估共享医疗预约对获得护理指标的影响.
- 在实施新预约模式后,评估诊所的生产力和患者数量.
主要方法:
- 2013年4月,一个共享的医疗预约模式被实施.
- 为了提高效率,开发了一种摄入表格和标准化呈现方式.
- 结果包括获得护理时间,遵守28天的目标,预约量和患者投诉.
- 用曼-惠特尼U测试分析数据,控制供应商的可用性.
主要成果:
- 获得护理的中位数显著下降,从26.6天降至20天 (p=0.0163).
- 在28天目标时间内看病率从44.3%提高到81.4% (p=0.0283).
- 每月预定的预约从128个增加到161个,尽管这在统计学上并不显著 (p=0.1172).
结论:
- 成功实施了共享医疗预约,提高了诊所的生产力.
- 该计划显著改善了获得护理的机会,将等待时间缩短了大约一周.
- 共享预约模式增加了每月的总体患者数量.
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