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协调员角色的使用改善了获得类风湿病高级治疗的机会
Chandra Farrer1, Sydney Thib2, Lihi Eder3
1C. Farrer, MSc, Department of Physical Therapy, University of Toronto; chandra.farrer@wchospital.ca.
The Journal of rheumatology
|November 1, 2023
概括
实施先进疗法协调员角色显著减少了患者开始先进疗法的等待时间,包括生物药物和向合成疾病修饰性抗风湿药物,改善了治疗的开始.
科学领域:
- 类风湿病学 类风湿病学
- 提高质量 提高质量
- 医疗保健管理的管理
背景情况:
- 推迟启动先进疗法 (生物药物,有针对性的合成DMARDs) 对患者的治疗结果产生负面影响.
- 识别和解决延迟对于有效的风湿病管理至关重要.
研究的目的:
- 确定导致推迟先进疗法启动的因素.
- 实施和评估干预措施,以减少先进治疗开始的时间.
主要方法:
- 回溯查看图表,以确定延迟因素.
- 实施先进治疗协调员的角色.
- 规划-做-学习-行动循环,以标准化工作流程和沟通.
主要成果:
- 干预前的中位等待时间为82.0天.
- 干预后的中位等待时间减少到49.5天 (2021年4月-2022年1月).
- 在干预后观察到等待时间的非随机变化.
结论:
- 先进治疗协调员的角色有效地减少了先进治疗启动的等待时间.
- 改善的沟通通路有助于更快地开始治疗.
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