将手术带给患者:通过外展,增加对泌尿外科手术护理的获取
Matthew A Uhlman1, Thomas S Gruca2, Craig A Jarvie3
1Department of Urology, Carver College of Medicine, University of Iowa, Iowa City, Iowa.
Urology practice
|August 18, 2023
概括
泌尿外科医院在农村地区提供大量门诊手术护理,占所有手术的15%. 这些治疗服务,主要是内镜,对于农村医疗保健的获取至关重要.
科学领域:
- 泌尿器科 泌尿器科 泌尿器科 泌尿器科
- 获得医疗保健 获得医疗保健 获得医疗保健
- 农村卫生 农村卫生
背景情况:
- 泌尿外展诊所提高了农村人口获得临床护理的机会.
- 这些诊所对程序性护理获取的影响仍未得到审查.
- 这项研究调查了农村州的外展设施的门诊泌尿器科手术护理.
研究的目的:
- 分析外展设施对门诊泌尿外科手术护理的利用情况.
- 为了比较外展中心与初级中心的泌尿器科程序护理.
- 了解程序护理在支持农村医院中的作用.
主要方法:
- 分析了来自全州临床教育计划办公室和爱荷华州医院协会的2010-2013年的数据.
- 门诊泌尿外科手术按CPT代码,类型和意图进行分类.
- 用地理数据和旅行指标来比较外展和初级保健网站.
主要成果:
- 进行了11,464次外展泌尿外科手术,占该州总数的15.0%.
- 外展程序主要是治疗 (51.7%) 和内镜 (62.9%) 的.
- 身体外冲击波石化疗法在外展环境中比尿路透镜治疗石头更常见 (p <0.0001).
结论:
- 泌尿器科程序护理的很大一部分发生在外展诊所,主要是治疗性低急性手术.
- 泌尿外科手术护理在维持农村医院方面发挥着重要作用.
- 这项研究首次证明了泌尿外科手术护理在农村环境中的重要性.
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