术后电话的实用性 减少计划外的医疗保健利用率
Kurt Panganiban1, Meridiana Mendez1, Amy Taylor1
1Division of Urology, Seattle Children's Hospital, Seattle, Washington.
The Journal of surgical research
|December 10, 2023
概括
儿科泌尿外科手术后的常规术后电话并没有减少医疗保健的使用. 然而,电话可能会增加家长发起的电话,特别是在较弱势地区,这表明需要定义术后接触的期望.
科学领域:
- 儿科泌尿外科 儿科泌尿外科
- 医疗保健服务研究 医疗服务研究
背景情况:
- 手术后的电话旨在主动识别手术后患者的担忧.
- 了解这些呼吁对医疗保健利用的影响对于优化患者护理至关重要.
研究的目的:
- 为了确定选择性门诊儿科泌尿外科手术后的术后电话是否会影响术后医疗保健利用率.
- 探索完成的电话与家长发起的电话或紧急部门访问之间的关联.
主要方法:
- 对接受选择性门诊儿科泌尿外科手术 (2019-2021) 的患者进行回顾性横截面研究.
- 抽象的数据包括人口统计,通话完成,家长发起的电话和30天内访问急诊室的数据.
- 完成手术后电话和没有完成电话的患者之间的医疗保健利用情况的比较.
主要成果:
- 在1494名患者中,有38.6%的患者完成了术后呼叫;这些在弱势地区更为常见.
- 整体紧急护理访问 (3.6%对4.0%) 或家长发起的电话 (31.7%对31.3%) 在两组之间没有显著差异.
- 在较弱势地区,完成的电话与父母发起的电话的可能性更高 (47.8%与33.6%相比).
结论:
- 在72小时内进行常规的术后电话并没有与整体术后医疗保健利用率的减少有关.
- 完成的电话可能会增加家长发起的对诊所的电话,特别是在弱势群体中.
- 建立明确的患者和提供者对术后接触的期望可以提高这些电话的有用性.
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