[急救部门的频繁用户:当前知识和未来的机会]
Dimitri Durr1, Damien Ruggli2, Joëlle Hausser2
1Service de médecine interne et des soins intensifs, Groupement hospitalier de l'Ouest lémanique, 1260 Nyon.
Revue medicale suisse
|August 17, 2023
概括
频繁的急诊室 (ED) 用户导致过度拥挤. 病例管理 (CM) 可以减少ED访问,特别是对于患有精神疾病的患者,但需要进一步研究以实现更广泛的实施.
科学领域:
- 公共卫生 公共卫生
- 医疗保健管理的管理
- 精神病学是一个精神病学.
背景情况:
- 频繁的急诊室 (ED) 使用是导致医疗保健系统压力和拥挤的重要因素.
- 识别和管理高利用率患者群体对于优化紧急护理提供至关重要.
研究的目的:
- 评估病例管理 (CM) 的有效性,作为减少急诊室 (ED) 访问的干预措施.
- 探索CM在管理患有精神病并发症的患者中的潜力及其在医院前环境中的适用性.
主要方法:
- 采用了整合性和多学科的案例管理 (CM) 方法.
- 该战略的重点是急救部门 (ED) 的频繁用户.
- 考虑了与急诊医疗服务和初级保健医生的合作.
主要成果:
- 案例管理 (CM) 被认为是减少ED访问的有希望的干预措施.
- 这种方法在患有精神病并发症的患者中表现出特别高的疗效.
- 在医院前设置中的实施是扩张的潜在途径.
结论:
- 病例管理 (CM) 是一个可行的策略,通过解决频繁的ED用户来缓解ED过度拥挤.
- 需要进一步研究CM的经济和医疗效率,以支持更广泛的采用.
- 在医院前和初级保健环境中整合CM可以增强其影响.
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