电子数据审查,客户提醒和扩大诊所时间,以改善COVID-19流行病关闭后的宫癌查率:一个多组件质量改进计划
Sue Ghosh1, Jackie Fantes1, Karin Leschly1
1East Boston Neighborhood Health Center, East Boston, United States.
eLife
|August 22, 2023
概括
实施有针对性的宣传和专门的查会议,增加了社区卫生中心的宫癌查 (CCS) 率. 然而,患者接触和预约遵守方面的挑战影响了长期的可持续性.
科学领域:
- 公共卫生 公共卫生
- 提高质量 提高质量
- 预防医学 预防医学
背景情况:
- 宫癌查率需要改进.
- 在2021年3月至8月期间,东波士顿社区卫生中心推出了一项质量改善计划.
研究的目的:
- 提高社区卫生中心环境中的宫癌查 (CCS) 率.
- 评估质量改善倡议的有效性,重点是增加CCS.
主要方法:
- 一个21名提供者团队使用电子医疗记录数据验证了逾期的CCS.
- 在常规,周末和晚上时间设立了专门的CCS专用课程.
- 进行了患者调查,以评估满意度和查障碍.
主要成果:
- 在倡议期间,患者中CCS最新的比例从68%增加到73%.
- 在1375名患者中,有459人 (33%) 完成了查,有45%的人无法联系,有15%的人取消或错过了预约.
- 报告的患者满意度很高,42%表示,如果没有外展努力,他们不会安排CCS.
结论:
- 一个经过验证的患者名单和专门的CCS会议有效地提高了查率.
- 不成功的外展和预约不出现/取消的高率对可持续性构成挑战.
- 研究结果为其他社区卫生中心提供了洞察力,以优化CCS临床工作流程.
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