患有癌症的成年人自行选急诊室访问的特点
Arthur S Hong1, Amy Hughes, D Mark Courtney
1The University of Texas Southwestern Medical Center, 5323 Harry Hines Blvd, Dallas, TX 75390-9169.
The American journal of managed care
|September 20, 2023
概括
成年癌症患者经常在没有使用现有的临床医生的建议的情况下访问急诊室 (ED). 许多患者绕过更近的ED,自我推的访问不那么严重,这表明护理导航不足最佳.
科学领域:
- 在瘤学瘤学.
- 医疗保健服务研究 医疗服务研究
- 紧急医疗 紧急医疗
背景情况:
- 新确诊的癌症成年人经常使用急诊室 (ED).
- 现有的24/7临床医生电话分拣服务可能无法被癌症患者充分利用.
- 患者自我选到最优的护理地点尚未得到充分理解.
研究的目的:
- 调查癌症患者如何自行选到急诊室的情况.
- 为了确定患者推的急救诊所是否与临床严重程度有关.
- 探索影响癌症患者访问ED的决定的因素.
主要方法:
- 使用瘤登记册和与区域健康信息交换相关的电子健康记录进行横截面研究.
- 地理处理患者地址以计算到ED的驾驶时间.
- 混合效应回归分析以根据诊断代码预测ED访问的严重程度.
主要成果:
- 超过39,000名成年癌症患者进行了近39,000次急救访问.
- 85.5%的访问是自我推的,患者绕过了平均13个更接近的ED.
- 自助参观和周末参观与显著较低的临床严重程度有关.
结论:
- 癌症患者在ED访问之前很少使用现有的临床医生的建议.
- 患者在决定寻求紧急护理时可能会使用非临床因素.
- 需要进一步的研究来了解癌症患者最佳急性护理导航的障碍.
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